How much rates vary
Facilitymedian $708 · 10th to 90th $550 to $1,072Professionalmedian $575 · 10th to 90th $468 to $1,096
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 $707.95 Typical High $891.25 | Facility | None | $512.86 | $707.95 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $707.95 Typical High $891.25 | Professional | None (both parts) | $602.56 | $707.95 | $891.25 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $537.03 Median $537.03 Typical High $660.69 | Professional | UE · Used equipment | $537.03 | $537.03 | $660.69 |
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 $56.23 Median $56.23 Typical High $199.53 | Professional | RR · Rental | $56.23 | $56.23 | $199.53 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | UE · Used equipment | $416.87 | $416.87 | $416.87 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $1,258.93 | Professional | None (both parts) | $97.72 | $97.72 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $549.54 Typical High $1,148.15 | Facility | None | $257.04 | $549.54 | $1,148.15 |
Cigna Setting Facility Modifier RR · Rental Typical Low $23.99 Median $54.95 Typical High $107.15 | Facility | RR · Rental | $23.99 | $54.95 | $107.15 |
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 $58.88 | Professional | RR · Rental | $46.77 | $46.77 | $58.88 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | UE · Used equipment | $346.74 | $346.74 | $346.74 |
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 $933.25 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $933.25 | $933.25 | $933.25 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,047.13 Typical High $1,096.48 | Professional | None (both parts) | $1,023.29 | $1,047.13 | $1,096.48 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $75.86 Median $104.71 Typical High $109.65 | Professional | RR · Rental | $75.86 | $104.71 | $109.65 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $562.34 Median $602.56 Typical High $776.25 | Professional | UE · Used equipment | $562.34 | $602.56 | $776.25 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
United Setting Professional Modifier None (both parts) Typical Low $426.58 Median $575.44 Typical High $954.99 | Professional | None (both parts) | $426.58 | $575.44 | $954.99 |
United Setting Professional Modifier RR · Rental Typical Low $42.66 Median $64.57 Typical High $95.50 | Professional | RR · Rental | $42.66 | $64.57 | $95.50 |
United Setting Professional Modifier UE · Used equipment Typical Low $323.59 Median $426.58 Typical High $707.95 | Professional | UE · Used equipment | $323.59 | $426.58 | $707.95 |
Univera Setting Facility Modifier None Typical Low $724.44 Median $1,047.13 Typical High $1,047.13 | Facility | None | $724.44 | $1,047.13 | $1,047.13 |
Univera Setting Professional Modifier None (both parts) Typical Low $616.60 Median $1,047.13 Typical High $1,096.48 | Professional | None (both parts) | $616.60 | $1,047.13 | $1,096.48 |
Univera Setting Professional Modifier RR · Rental Typical Low $75.86 Median $104.71 Typical High $109.65 | Professional | RR · Rental | $75.86 | $104.71 | $109.65 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $323.59 Median $602.56 Typical High $776.25 | Professional | UE · Used equipment | $323.59 | $602.56 | $776.25 |
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 $67.61 Median $169.82 Typical High $234.42 | Professional | 26 · Professional part | $67.61 | $169.82 | $234.42 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | KH · Purchase or 1st rental month | $75.86 | $75.86 | $75.86 |
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 $75.86 Median $75.86 Typical High $75.86 | Professional | KH · Purchase or 1st rental month | $75.86 | $75.86 | $75.86 |
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 14.5 times more in South Carolina 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· 19th of 51
$589
SC $891IL $61.66
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.