How much rates vary
Facilitymedian $1,413 · 10th to 90th $1,413 to $4,266Professionalmedian $1,738 · 10th to 90th $1,148 to $4,571
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 $2,344.23 Median $2,691.53 Typical High $3,019.95 | Facility | None | $2,344.23 | $2,691.53 | $3,019.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,691.53 Median $2,691.53 Typical High $3,019.95 | Professional | None (both parts) | $2,691.53 | $2,691.53 | $3,019.95 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,995.26 Median $1,995.26 Typical High $2,290.87 | Professional | UE · Used equipment | $1,995.26 | $1,995.26 | $2,290.87 |
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 $173.78 Median $173.78 Typical High $676.08 | Professional | RR · Rental | $173.78 | $173.78 | $676.08 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | UE · Used equipment | $1,318.26 | $1,318.26 | $1,318.26 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $4,786.30 | Professional | None (both parts) | $371.54 | $371.54 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $3,801.89 Typical High $5,370.32 | Facility | None | $812.83 | $3,801.89 | $5,370.32 |
Cigna Setting Facility Modifier RR · Rental Typical Low $104.71 Median $173.78 Typical High $478.63 | Facility | RR · Rental | $104.71 | $173.78 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,513.56 Typical High $8,709.64 | Professional | None (both parts) | $1,513.56 | $1,513.56 | $8,709.64 |
Cigna Setting Professional Modifier RR · Rental Typical Low $147.91 Median $147.91 Typical High $173.78 | Professional | RR · Rental | $147.91 | $147.91 | $173.78 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | UE · Used equipment | $1,148.15 | $1,148.15 | $1,148.15 |
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 $1,148.15 Median $1,412.54 Typical High $1,412.54 | Professional | None (both parts) | $1,148.15 | $1,412.54 | $1,412.54 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Excellus BCBS Setting Facility Modifier RR · Rental Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | RR · Rental | $141.25 | $141.25 | $141.25 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $4,265.80 Typical High $4,570.88 | Professional | None (both parts) | $1,412.54 | $4,265.80 | $4,570.88 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $141.25 Median $416.87 Typical High $457.09 | Professional | RR · Rental | $141.25 | $416.87 | $457.09 |
MVP Health Care Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $3,090.30 | Facility | None | $309.03 | $309.03 | $3,090.30 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $128.82 Median $128.82 Typical High $537.03 | Professional | RR · Rental | $128.82 | $128.82 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $1,096.48 Typical High $2,137.96 | Professional | None (both parts) | $158.49 | $1,096.48 | $2,137.96 |
United Setting Professional Modifier RR · Rental Typical Low $144.54 Median $245.47 Typical High $323.59 | Professional | RR · Rental | $144.54 | $245.47 | $323.59 |
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 $1,412.54 Median $1,412.54 Typical High $4,265.80 | Facility | None | $1,412.54 | $1,412.54 | $4,265.80 |
Univera Setting Facility Modifier RR · Rental Typical Low $141.25 Median $141.25 Typical High $426.58 | Facility | RR · Rental | $141.25 | $141.25 | $426.58 |
Univera Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $4,168.69 Typical High $4,570.88 | Professional | None (both parts) | $1,412.54 | $4,168.69 | $4,570.88 |
Univera Setting Professional Modifier RR · Rental Typical Low $141.25 Median $263.03 Typical High $457.09 | Professional | RR · Rental | $141.25 | $263.03 | $457.09 |
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 $173.78 Median $707.95 Typical High $954.99 | Professional | 26 · Professional part | $173.78 | $707.95 | $954.99 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | KH · Purchase or 1st rental month | $263.03 | $263.03 | $263.03 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | RB · Replacement part | $3,388.44 | $3,388.44 | $3,388.44 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | KH · Purchase or 1st rental month | $263.03 | $263.03 | $263.03 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | RB · Replacement part | $3,388.44 | $3,388.44 | $3,388.44 |
Where New York sits
The same service costs 28.8 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· 25th of 51
$1,738
SC $5,012IL $174
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.