How much rates vary
Facilitymedian $407 · 10th to 90th $316 to $759Professionalmedian $427 · 10th to 90th $288 to $646
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 $316.23 Median $446.68 Typical High $691.83 | Facility | None | $316.23 | $446.68 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $691.83 | Professional | None (both parts) | $446.68 | $446.68 | $691.83 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $338.84 Median $338.84 Typical High $512.86 | Professional | UE · Used equipment | $338.84 | $338.84 | $512.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $851.14 | Professional | None (both parts) | $426.58 | $426.58 | $851.14 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $42.66 Median $42.66 Typical High $144.54 | Professional | RR · Rental | $42.66 | $42.66 | $144.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $323.59 Median $323.59 Typical High $363.08 | Professional | UE · Used equipment | $323.59 | $323.59 | $363.08 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $870.96 | Professional | None (both parts) | $66.07 | $66.07 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $316.23 Typical High $812.83 | Facility | None | $181.97 | $316.23 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $338.84 | Professional | None (both parts) | $269.15 | $269.15 | $338.84 |
Cigna Setting Professional Modifier RR · Rental Typical Low $57.54 Median $57.54 Typical High $338.84 | Professional | RR · Rental | $57.54 | $57.54 | $338.84 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | UE · Used equipment | $204.17 | $204.17 | $204.17 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $69.18 Median $114.82 Typical High $251.19 | Facility | RR · Rental | $69.18 | $114.82 | $251.19 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None (both parts) | $549.54 | $549.54 | $549.54 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $575.44 Median $588.84 Typical High $616.60 | Professional | None (both parts) | $575.44 | $588.84 | $616.60 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $57.54 Median $58.88 Typical High $61.66 | Professional | RR · Rental | $57.54 | $58.88 | $61.66 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $316.23 Median $338.84 Typical High $436.52 | Professional | UE · Used equipment | $316.23 | $338.84 | $436.52 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $66.07 | $66.07 | $66.07 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $354.81 Typical High $537.03 | Professional | None (both parts) | $239.88 | $354.81 | $537.03 |
United Setting Professional Modifier RR · Rental Typical Low $27.54 Median $45.71 Typical High $64.57 | Professional | RR · Rental | $27.54 | $45.71 | $64.57 |
United Setting Professional Modifier UE · Used equipment Typical Low $181.97 Median $263.03 Typical High $398.11 | Professional | UE · Used equipment | $181.97 | $263.03 | $398.11 |
Univera Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $588.84 | Facility | None | $407.38 | $588.84 | $588.84 |
Univera Setting Professional Modifier None (both parts) Typical Low $346.74 Median $588.84 Typical High $616.60 | Professional | None (both parts) | $346.74 | $588.84 | $616.60 |
Univera Setting Professional Modifier RR · Rental Typical Low $57.54 Median $58.88 Typical High $61.66 | Professional | RR · Rental | $57.54 | $58.88 | $61.66 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $181.97 Median $338.84 Typical High $436.52 | Professional | UE · Used equipment | $181.97 | $338.84 | $436.52 |
5 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 $38.90 Median $95.50 Typical High $128.82 | Professional | 26 · Professional part | $38.90 | $95.50 | $128.82 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | KH · Purchase or 1st rental month | $58.88 | $58.88 | $58.88 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | RB · Replacement part | $776.25 | $776.25 | $776.25 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | KH · Purchase or 1st rental month | $58.88 | $58.88 | $58.88 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | RB · Replacement part | $776.25 | $776.25 | $776.25 |
Where New York sits
The same service costs 3.5 times more in North Dakota than in Mississippi. 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· 22nd of 51
$427
ND $794MS $229
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.