How much rates vary
Facilitymedian $4,898 · 10th to 90th $3,311 to $5,888Professionalmedian $4,365 · 10th to 90th $3,020 to $6,166
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 $3,311.31 Median $4,168.69 Typical High $6,025.60 | Facility | None | $3,311.31 | $4,168.69 | $6,025.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $4,168.69 Median $4,168.69 Typical High $6,025.60 | Professional | None (both parts) | $4,168.69 | $4,168.69 | $6,025.60 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $3,162.28 Median $3,162.28 Typical High $4,466.84 | Professional | UE · Used equipment | $3,162.28 | $3,162.28 | $4,466.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $4,365.16 Median $4,365.16 Typical High $8,317.64 | Professional | None (both parts) | $4,365.16 | $4,365.16 | $8,317.64 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $446.68 Median $446.68 Typical High $1,288.25 | Professional | RR · Rental | $446.68 | $446.68 | $1,288.25 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3,235.94 Median $3,235.94 Typical High $3,311.31 | Professional | UE · Used equipment | $3,235.94 | $3,235.94 | $3,311.31 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $7,943.28 | Professional | None (both parts) | $616.60 | $616.60 | $7,943.28 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $3,548.13 Typical High $7,079.46 | Facility | None | $199.53 | $3,548.13 | $7,079.46 |
Cigna Setting Facility Modifier RR · Rental Typical Low $165.96 Median $407.38 Typical High $741.31 | Facility | RR · Rental | $165.96 | $407.38 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $3,467.37 Typical High $8,128.31 | Professional | None (both parts) | $457.09 | $3,467.37 | $8,128.31 |
Cigna Setting Professional Modifier RR · Rental Typical Low $346.74 Median $346.74 Typical High $407.38 | Professional | RR · Rental | $346.74 | $346.74 | $407.38 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | UE · Used equipment | $2,630.27 | $2,630.27 | $2,630.27 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $562.34 Median $933.25 Typical High $2,041.74 | Facility | RR · Rental | $562.34 | $933.25 | $2,041.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $3,890.45 Median $4,897.79 Typical High $9,332.54 | Professional | None (both parts) | $3,890.45 | $4,897.79 | $9,332.54 |
Excellus BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Facility | None | $4,897.79 | $4,897.79 | $4,897.79 |
Excellus BCBS Setting Facility Modifier RR · Rental Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | RR · Rental | $489.78 | $489.78 | $489.78 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $4,897.79 Median $5,888.44 Typical High $6,165.95 | Professional | None (both parts) | $4,897.79 | $5,888.44 | $6,165.95 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $489.78 Median $575.44 Typical High $616.60 | Professional | RR · Rental | $489.78 | $575.44 | $616.60 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $3,162.28 Median $3,388.44 Typical High $4,365.16 | Professional | UE · Used equipment | $3,162.28 | $3,388.44 | $4,365.16 |
MVP Health Care Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $10,471.29 | Facility | None | $1,047.13 | $1,047.13 | $10,471.29 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $331.13 Median $331.13 Typical High $1,071.52 | Professional | RR · Rental | $331.13 | $331.13 | $1,071.52 |
United Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $3,162.28 Typical High $5,370.32 | Professional | None (both parts) | $2,398.83 | $3,162.28 | $5,370.32 |
United Setting Professional Modifier RR · Rental Typical Low $275.42 Median $426.58 Typical High $588.84 | Professional | RR · Rental | $275.42 | $426.58 | $588.84 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,819.70 Median $2,344.23 Typical High $3,890.45 | Professional | UE · Used equipment | $1,819.70 | $2,344.23 | $3,890.45 |
Univera Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $5,888.44 | Facility | None | $4,897.79 | $4,897.79 | $5,888.44 |
Univera Setting Facility Modifier RR · Rental Typical Low $489.78 Median $489.78 Typical High $588.84 | Facility | RR · Rental | $489.78 | $489.78 | $588.84 |
Univera Setting Professional Modifier None (both parts) Typical Low $4,897.79 Median $5,754.40 Typical High $6,165.95 | Professional | None (both parts) | $4,897.79 | $5,754.40 | $6,165.95 |
Univera Setting Professional Modifier RR · Rental Typical Low $489.78 Median $512.86 Typical High $616.60 | Professional | RR · Rental | $489.78 | $512.86 | $616.60 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $3,162.28 Median $3,388.44 Typical High $4,897.79 | Professional | UE · Used equipment | $3,162.28 | $3,388.44 | $4,897.79 |
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 $389.05 Median $954.99 Typical High $1,288.25 | Professional | 26 · Professional part | $389.05 | $954.99 | $1,288.25 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | KH · Purchase or 1st rental month | $512.86 | $512.86 | $512.86 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $6,760.83 Median $6,760.83 Typical High $6,760.83 | Professional | RB · Replacement part | $6,760.83 | $6,760.83 | $6,760.83 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | KH · Purchase or 1st rental month | $512.86 | $512.86 | $512.86 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $6,760.83 Median $6,760.83 Typical High $6,760.83 | Professional | RB · Replacement part | $6,760.83 | $6,760.83 | $6,760.83 |
Where New York sits
The same service costs 14.8 times more in North Dakota 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· 18th of 51
$4,365
ND $6,457IL $437
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.