How much rates vary
Facilitymedian $3,802 · 10th to 90th $302 to $3,981Professionalmedian $2,042 · 10th to 90th $363 to $3,802
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 $1,905.46 Median $2,398.83 Typical High $2,754.23 | Facility | None | $1,905.46 | $2,398.83 | $2,754.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $2,398.83 Typical High $2,754.23 | Professional | None (both parts) | $2,398.83 | $2,398.83 | $2,754.23 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,819.70 Median $1,819.70 Typical High $2,089.30 | Professional | UE · Used equipment | $1,819.70 | $1,819.70 | $2,089.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $1,737.80 Typical High $3,548.13 | Professional | None (both parts) | $1,737.80 | $1,737.80 | $3,548.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $186.21 Median $186.21 Typical High $616.60 | Professional | RR · Rental | $186.21 | $186.21 | $616.60 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,318.26 Median $1,318.26 Typical High $1,380.38 | Professional | UE · Used equipment | $1,318.26 | $1,318.26 | $1,380.38 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $4,168.69 | Professional | None (both parts) | $323.59 | $323.59 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $3,981.07 | Facility | None | $302.00 | $302.00 | $3,981.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $323.59 | Professional | None (both parts) | $257.04 | $257.04 | $323.59 |
Cigna Setting Professional Modifier RR · Rental Typical Low $151.36 Median $151.36 Typical High $1,230.27 | Professional | RR · Rental | $151.36 | $151.36 | $1,230.27 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | UE · Used equipment | $194.98 | $194.98 | $194.98 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $218.78 Median $363.08 Typical High $794.33 | Facility | RR · Rental | $218.78 | $363.08 | $794.33 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $3,090.30 Median $3,801.89 Typical High $3,801.89 | Professional | None (both parts) | $3,090.30 | $3,801.89 | $3,801.89 |
Excellus BCBS Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
Excellus BCBS Setting Facility Modifier RR · Rental Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | RR · Rental | $380.19 | $380.19 | $380.19 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $3,548.13 Median $3,715.35 Typical High $3,801.89 | Professional | None (both parts) | $3,548.13 | $3,715.35 | $3,801.89 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $239.88 Median $371.54 Typical High $380.19 | Professional | RR · Rental | $239.88 | $371.54 | $380.19 |
MVP Health Care Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $8,317.64 | Facility | None | $831.76 | $831.76 | $8,317.64 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $128.82 Median $128.82 Typical High $489.78 | Professional | RR · Rental | $128.82 | $128.82 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $1,096.48 Typical High $2,187.76 | Professional | None (both parts) | $177.83 | $1,096.48 | $2,187.76 |
United Setting Professional Modifier RR · Rental Typical Low $128.82 Median $223.87 Typical High $263.03 | Professional | RR · Rental | $128.82 | $223.87 | $263.03 |
United Setting Professional Modifier UE · Used equipment Typical Low $831.76 Median $831.76 Typical High $1,047.13 | Professional | UE · Used equipment | $831.76 | $831.76 | $1,047.13 |
Univera Setting Facility Modifier None Typical Low $3,548.13 Median $3,801.89 Typical High $4,073.80 | Facility | None | $3,548.13 | $3,801.89 | $4,073.80 |
Univera Setting Facility Modifier RR · Rental Typical Low $354.81 Median $380.19 Typical High $426.58 | Facility | RR · Rental | $354.81 | $380.19 | $426.58 |
Univera Setting Professional Modifier None (both parts) Typical Low $3,548.13 Median $3,715.35 Typical High $3,801.89 | Professional | None (both parts) | $3,548.13 | $3,715.35 | $3,801.89 |
Univera Setting Professional Modifier RR · Rental Typical Low $239.88 Median $371.54 Typical High $380.19 | Professional | RR · Rental | $239.88 | $371.54 | $380.19 |
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 $186.21 Median $575.44 Typical High $776.25 | Professional | 26 · Professional part | $186.21 | $575.44 | $776.25 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | KH · Purchase or 1st rental month | $239.88 | $239.88 | $239.88 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | RB · Replacement part | $3,090.30 | $3,090.30 | $3,090.30 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | KH · Purchase or 1st rental month | $239.88 | $239.88 | $239.88 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | RB · Replacement part | $3,090.30 | $3,090.30 | $3,090.30 |
Where New York sits
The same service costs 20.9 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· 8th of 51
$2,239
SC $3,981IL $191
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.