How much rates vary
Facilitymedian $100 · 10th to 90th $100 to $1,622Professionalmedian $562 · 10th to 90th $100 to $1,000
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 $891.25 Median $1,000.00 Typical High $1,258.93 | Facility | None | $891.25 | $1,000.00 | $1,258.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,258.93 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,258.93 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $758.58 Median $758.58 Typical High $933.25 | Professional | UE · Used equipment | $758.58 | $758.58 | $933.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $741.31 | Professional | None (both parts) | $562.34 | $562.34 | $741.31 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $56.23 Median $56.23 Typical High $194.98 | Professional | RR · Rental | $56.23 | $56.23 | $194.98 |
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 $144.54 Median $144.54 Typical High $1,862.09 | Professional | None (both parts) | $144.54 | $144.54 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $691.83 Typical High $1,047.13 | Facility | None | $151.36 | $691.83 | $1,047.13 |
Cigna Setting Facility Modifier RR · Rental Typical Low $44.67 Median $67.61 Typical High $199.53 | Facility | RR · Rental | $44.67 | $67.61 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $776.25 | $776.25 | $776.25 |
Cigna Setting Professional Modifier RR · Rental Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | RR · Rental | $57.54 | $57.54 | $57.54 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | UE · Used equipment | $588.84 | $588.84 | $588.84 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $95.50 Median $158.49 Typical High $346.74 | Facility | RR · Rental | $95.50 | $158.49 | $346.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $100.00 Median $107.15 Typical High $165.96 | Professional | RR · Rental | $100.00 | $107.15 | $165.96 |
Excellus BCBS Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Excellus BCBS Setting Facility Modifier RR · Rental Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | RR · Rental | $100.00 | $100.00 | $100.00 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $173.78 Typical High $1,621.81 | Professional | None (both parts) | $100.00 | $173.78 | $1,621.81 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $100.00 Median $107.15 Typical High $173.78 | Professional | RR · Rental | $100.00 | $107.15 | $173.78 |
Highmark BCBS Setting Professional Modifier RR · Rental Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | RR · Rental | $123.03 | $123.03 | $123.03 |
MVP Health Care Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | RR · Rental | $52.48 | $52.48 | $52.48 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $81.28 Typical High $707.95 | Professional | None (both parts) | $40.74 | $81.28 | $707.95 |
United Setting Professional Modifier RR · Rental Typical Low $44.67 Median $107.15 Typical High $114.82 | Professional | RR · Rental | $44.67 | $107.15 | $114.82 |
United Setting Professional Modifier UE · Used equipment Typical Low $416.87 Median $512.86 Typical High $537.03 | Professional | UE · Used equipment | $416.87 | $512.86 | $537.03 |
Univera Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $1,621.81 | Facility | None | $100.00 | $100.00 | $1,621.81 |
Univera Setting Facility Modifier RR · Rental Typical Low $100.00 Median $100.00 Typical High $162.18 | Facility | RR · Rental | $100.00 | $100.00 | $162.18 |
Univera Setting Professional Modifier None (both parts) Typical Low $100.00 Median $173.78 Typical High $1,621.81 | Professional | None (both parts) | $100.00 | $173.78 | $1,621.81 |
Univera Setting Professional Modifier RR · Rental Typical Low $100.00 Median $107.15 Typical High $173.78 | Professional | RR · Rental | $100.00 | $107.15 | $173.78 |
3 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 $234.42 Median $251.19 Typical High $316.23 | Professional | 26 · Professional part | $234.42 | $251.19 | $316.23 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | KH · Purchase or 1st rental month | $107.15 | $107.15 | $107.15 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | KH · Purchase or 1st rental month | $107.15 | $107.15 | $107.15 |
Where New York sits
The same service costs 13.2 times more in Wyoming than in Montana. 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· 31st of 51
$562
WY $1,349MT $102
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.