How much rates vary
Facilitymedian $741 · 10th to 90th $550 to $1,122Professionalmedian $589 · 10th to 90th $468 to $1,122
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 $512.86 Median $741.31 Typical High $891.25 | Facility | None | $512.86 | $741.31 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $891.25 | Professional | None (both parts) | $741.31 | $741.31 | $891.25 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $549.54 Median $549.54 Typical High $676.08 | Professional | UE · Used equipment | $549.54 | $549.54 | $676.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $1,122.02 | Professional | None (both parts) | $562.34 | $562.34 | $1,122.02 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $57.54 Median $57.54 Typical High $199.53 | Professional | RR · Rental | $57.54 | $57.54 | $199.53 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $416.87 Median $416.87 Typical High $436.52 | Professional | UE · Used equipment | $416.87 | $416.87 | $436.52 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $1,288.25 | Professional | None (both parts) | $100.00 | $100.00 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $549.54 Typical High $1,174.90 | Facility | None | $263.03 | $549.54 | $1,174.90 |
Cigna Setting Facility Modifier RR · Rental Typical Low $25.12 Median $54.95 Typical High $112.20 | Facility | RR · Rental | $25.12 | $54.95 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $588.84 | Professional | None (both parts) | $467.74 | $467.74 | $588.84 |
Cigna Setting Professional Modifier RR · Rental Typical Low $46.77 Median $46.77 Typical High $54.95 | Professional | RR · Rental | $46.77 | $46.77 | $54.95 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | UE · Used equipment | $354.81 | $354.81 | $354.81 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $74.13 Median $123.03 Typical High $269.15 | Facility | RR · Rental | $74.13 | $123.03 | $269.15 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None (both parts) | $1,148.15 | $1,148.15 | $1,148.15 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,071.52 Typical High $1,122.02 | Professional | None (both parts) | $1,047.13 | $1,071.52 | $1,122.02 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $77.62 Median $107.15 Typical High $112.20 | Professional | RR · Rental | $77.62 | $107.15 | $112.20 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $575.44 Median $616.60 Typical High $794.33 | Professional | UE · Used equipment | $575.44 | $616.60 | $794.33 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $436.52 Median $588.84 Typical High $977.24 | Professional | None (both parts) | $436.52 | $588.84 | $977.24 |
United Setting Professional Modifier RR · Rental Typical Low $43.65 Median $67.61 Typical High $97.72 | Professional | RR · Rental | $43.65 | $67.61 | $97.72 |
United Setting Professional Modifier UE · Used equipment Typical Low $323.59 Median $436.52 Typical High $724.44 | Professional | UE · Used equipment | $323.59 | $436.52 | $724.44 |
Univera Setting Facility Modifier None Typical Low $741.31 Median $1,071.52 Typical High $1,071.52 | Facility | None | $741.31 | $1,071.52 | $1,071.52 |
Univera Setting Professional Modifier None (both parts) Typical Low $630.96 Median $1,071.52 Typical High $1,122.02 | Professional | None (both parts) | $630.96 | $1,071.52 | $1,122.02 |
Univera Setting Professional Modifier RR · Rental Typical Low $77.62 Median $107.15 Typical High $112.20 | Professional | RR · Rental | $77.62 | $107.15 | $112.20 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $331.13 Median $616.60 Typical High $794.33 | Professional | UE · Used equipment | $331.13 | $616.60 | $794.33 |
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 $69.18 Median $173.78 Typical High $239.88 | Professional | 26 · Professional part | $69.18 | $173.78 | $239.88 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | KH · Purchase or 1st rental month | $77.62 | $77.62 | $77.62 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | RB · Replacement part | $1,000.00 | $1,000.00 | $1,000.00 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | KH · Purchase or 1st rental month | $77.62 | $77.62 | $77.62 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | RB · Replacement part | $1,000.00 | $1,000.00 | $1,000.00 |
Where New York sits
The same service costs 15.1 times more in Kansas than in Illinois. 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· 20th of 51
$589
KS $955IL $63.10
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.