How much rates vary
Facilitymedian $479 · 10th to 90th $372 to $759Professionalmedian $501 · 10th to 90th $316 to $724
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $323.59 Median $512.86 Typical High $758.58 | Facility | None | $323.59 | $512.86 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $758.58 | Professional | None (both parts) | $512.86 | $512.86 | $758.58 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $389.05 Median $389.05 Typical High $562.34 | Professional | UE · Used equipment | $389.05 | $389.05 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $1,000.00 | Professional | None (both parts) | $501.19 | $501.19 | $1,000.00 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $50.12 Median $50.12 Typical High $158.49 | Professional | RR · Rental | $50.12 | $50.12 | $158.49 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $380.19 Median $380.19 Typical High $389.05 | Professional | UE · Used equipment | $380.19 | $380.19 | $389.05 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $977.24 | Professional | None (both parts) | $74.13 | $74.13 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $371.54 Typical High $758.58 | Facility | None | $169.82 | $371.54 | $758.58 |
Cigna Setting Facility Modifier RR · Rental Typical Low $20.42 Median $37.15 Typical High $93.33 | Facility | RR · Rental | $20.42 | $37.15 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $398.11 | Professional | None (both parts) | $316.23 | $316.23 | $398.11 |
Cigna Setting Professional Modifier RR · Rental Typical Low $31.62 Median $31.62 Typical High $37.15 | Professional | RR · Rental | $31.62 | $31.62 | $37.15 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | UE · Used equipment | $234.42 | $234.42 | $234.42 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $72.44 Median $120.23 Typical High $263.03 | Facility | RR · Rental | $72.44 | $120.23 | $263.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $602.56 | $602.56 | $602.56 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $676.08 Median $691.83 Typical High $724.44 | Professional | None (both parts) | $676.08 | $691.83 | $724.44 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $64.57 Median $69.18 Typical High $72.44 | Professional | RR · Rental | $64.57 | $69.18 | $72.44 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $371.54 Median $398.11 Typical High $512.86 | Professional | UE · Used equipment | $371.54 | $398.11 | $512.86 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $380.19 Typical High $630.96 | Professional | None (both parts) | $281.84 | $380.19 | $630.96 |
United Setting Professional Modifier RR · Rental Typical Low $32.36 Median $52.48 Typical High $70.79 | Professional | RR · Rental | $32.36 | $52.48 | $70.79 |
United Setting Professional Modifier UE · Used equipment Typical Low $213.80 Median $281.84 Typical High $467.74 | Professional | UE · Used equipment | $213.80 | $281.84 | $467.74 |
Univera Setting Facility Modifier None Typical Low $478.63 Median $691.83 Typical High $691.83 | Facility | None | $478.63 | $691.83 | $691.83 |
Univera Setting Professional Modifier None (both parts) Typical Low $407.38 Median $691.83 Typical High $724.44 | Professional | None (both parts) | $407.38 | $691.83 | $724.44 |
Univera Setting Professional Modifier RR · Rental Typical Low $64.57 Median $69.18 Typical High $72.44 | Professional | RR · Rental | $64.57 | $69.18 | $72.44 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $213.80 Median $398.11 Typical High $512.86 | Professional | UE · Used equipment | $213.80 | $398.11 | $512.86 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $112.20 Typical High $151.36 | Professional | 26 · Professional part | $45.71 | $112.20 | $151.36 |
Cigna Setting Professional Modifier MS · Maintenance fee Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | MS · Maintenance fee | $29.51 | $29.51 | $29.51 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | KH · Purchase or 1st rental month | $64.57 | $64.57 | $64.57 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | RB · Replacement part | $851.14 | $851.14 | $851.14 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | KH · Purchase or 1st rental month | $64.57 | $64.57 | $64.57 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | RB · Replacement part | $851.14 | $851.14 | $851.14 |
Where New York sits
The same service costs 4.2 times more in North Dakota than in Rhode Island. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
New York· 14th of 51
$501
ND $851RI $204
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.