How much rates vary
Facilitymedian $933 · 10th to 90th $851 to $1,479Professionalmedian $1,023 · 10th to 90th $794 to $1,479
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 $645.65 Median $1,174.90 Typical High $1,479.11 | Facility | None | $645.65 | $1,174.90 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,174.90 Typical High $1,479.11 | Professional | None (both parts) | $1,174.90 | $1,174.90 | $1,479.11 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $870.96 Median $870.96 Typical High $1,096.48 | Professional | UE · Used equipment | $870.96 | $870.96 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,995.26 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,995.26 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $102.33 Median $102.33 Typical High $316.23 | Professional | RR · Rental | $102.33 | $102.33 | $316.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | UE · Used equipment | $758.58 | $758.58 | $758.58 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $1,819.70 | Professional | None (both parts) | $141.25 | $141.25 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $891.25 Typical High $1,548.82 | Facility | None | $346.74 | $891.25 | $1,548.82 |
Cigna Setting Facility Modifier RR · Rental Typical Low $39.81 Median $89.13 Typical High $177.83 | Facility | RR · Rental | $39.81 | $89.13 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $933.25 | Professional | None (both parts) | $741.31 | $741.31 | $933.25 |
Cigna Setting Professional Modifier RR · Rental Typical Low $74.13 Median $74.13 Typical High $89.13 | Professional | RR · Rental | $74.13 | $74.13 | $89.13 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | UE · Used equipment | $562.34 | $562.34 | $562.34 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $144.54 Median $234.42 Typical High $512.86 | Facility | RR · Rental | $144.54 | $234.42 | $512.86 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $1,548.82 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,348.96 Typical High $1,412.54 | Professional | None (both parts) | $1,318.26 | $1,348.96 | $1,412.54 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $125.89 Median $134.90 Typical High $141.25 | Professional | RR · Rental | $125.89 | $134.90 | $141.25 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $724.44 Median $776.25 Typical High $1,000.00 | Professional | UE · Used equipment | $724.44 | $776.25 | $1,000.00 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $549.54 Median $977.24 Typical High $1,479.11 | Professional | None (both parts) | $549.54 | $977.24 | $1,479.11 |
United Setting Professional Modifier RR · Rental Typical Low $63.10 Median $95.50 Typical High $131.83 | Professional | RR · Rental | $63.10 | $95.50 | $131.83 |
United Setting Professional Modifier UE · Used equipment Typical Low $416.87 Median $741.31 Typical High $1,096.48 | Professional | UE · Used equipment | $416.87 | $741.31 | $1,096.48 |
Univera Setting Facility Modifier None Typical Low $933.25 Median $1,348.96 Typical High $1,348.96 | Facility | None | $933.25 | $1,348.96 | $1,348.96 |
Univera Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,348.96 Typical High $1,412.54 | Professional | None (both parts) | $794.33 | $1,348.96 | $1,412.54 |
Univera Setting Professional Modifier RR · Rental Typical Low $125.89 Median $134.90 Typical High $141.25 | Professional | RR · Rental | $125.89 | $134.90 | $141.25 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $416.87 Median $776.25 Typical High $1,000.00 | Professional | UE · Used equipment | $416.87 | $776.25 | $1,000.00 |
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 $89.13 Median $229.09 Typical High $302.00 | Professional | 26 · Professional part | $89.13 | $229.09 | $302.00 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | KH · Purchase or 1st rental month | $125.89 | $125.89 | $125.89 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | RB · Replacement part | $1,659.59 | $1,659.59 | $1,659.59 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | KH · Purchase or 1st rental month | $125.89 | $125.89 | $125.89 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | RB · Replacement part | $1,659.59 | $1,659.59 | $1,659.59 |
Where New York sits
The same service costs 4.6 times more in Kansas 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· 15th of 51
$1,023
KS $2,399RI $525
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.