How much rates vary
Facilitymedian $31 · 10th to 90th $15 to $257Professionalmedian $126 · 10th to 90th $26 to $186
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 $144.54 Median $186.21 Typical High $239.88 | Facility | None | $144.54 | $186.21 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $239.88 | Professional | None (both parts) | $186.21 | $186.21 | $239.88 |
Aetna Setting Professional Modifier RR · Rental Typical Low $10.00 Median $14.45 Typical High $120.23 | Professional | RR · Rental | $10.00 | $14.45 | $120.23 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $138.04 Median $138.04 Typical High $177.83 | Professional | UE · Used equipment | $138.04 | $138.04 | $177.83 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $15.49 Median $19.95 Typical High $23.99 | Professional | RR · Rental | $15.49 | $19.95 | $23.99 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $295.12 | Professional | None (both parts) | $165.96 | $165.96 | $295.12 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $16.60 Median $16.60 Typical High $37.15 | Professional | RR · Rental | $16.60 | $16.60 | $37.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | UE · Used equipment | $123.03 | $123.03 | $123.03 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $331.13 | Professional | None (both parts) | $25.70 | $25.70 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $190.55 | Facility | None | $14.79 | $14.79 | $190.55 |
Cigna Setting Facility Modifier RR · Rental Typical Low $7.41 Median $14.79 Typical High $33.11 | Facility | RR · Rental | $7.41 | $14.79 | $33.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $107.15 | $125.89 | $125.89 |
Cigna Setting Professional Modifier RR · Rental Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | RR · Rental | $12.59 | $12.59 | $12.59 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | UE · Used equipment | $93.33 | $93.33 | $93.33 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $21.38 Median $34.67 Typical High $75.86 | Facility | RR · Rental | $21.38 | $34.67 | $75.86 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None (both parts) | $30.90 | $30.90 | $30.90 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $22.39 Median $23.44 Typical High $37.15 | Professional | RR · Rental | $22.39 | $23.44 | $37.15 |
Excellus BCBS Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Excellus BCBS Setting Facility Modifier RR · Rental Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | RR · Rental | $30.90 | $30.90 | $30.90 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.90 Typical High $257.04 | Professional | None (both parts) | $25.70 | $30.90 | $257.04 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $20.89 Median $25.70 Typical High $30.90 | Professional | RR · Rental | $20.89 | $25.70 | $30.90 |
Fidelis Setting Professional Modifier RR · Rental Typical Low $22.91 Median $22.91 Typical High $24.55 | Professional | RR · Rental | $22.91 | $22.91 | $24.55 |
Highmark BCBS Setting Professional Modifier RR · Rental Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | RR · Rental | $16.98 | $16.98 | $16.98 |
MVP Health Care Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None (both parts) | $28.84 | $28.84 | $28.84 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | RR · Rental | $11.75 | $11.75 | $11.75 |
United Setting Professional Modifier None (both parts) Typical Low $7.94 Median $19.50 Typical High $158.49 | Professional | None (both parts) | $7.94 | $19.50 | $158.49 |
United Setting Professional Modifier RR · Rental Typical Low $7.94 Median $14.79 Typical High $20.42 | Professional | RR · Rental | $7.94 | $14.79 | $20.42 |
United Setting Professional Modifier UE · Used equipment Typical Low $95.50 Median $114.82 Typical High $120.23 | Professional | UE · Used equipment | $95.50 | $114.82 | $120.23 |
Univera Setting Facility Modifier None Typical Low $25.70 Median $30.90 Typical High $257.04 | Facility | None | $25.70 | $30.90 | $257.04 |
Univera Setting Facility Modifier RR · Rental Typical Low $25.70 Median $30.90 Typical High $30.90 | Facility | RR · Rental | $25.70 | $30.90 | $30.90 |
Univera Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.90 Typical High $257.04 | Professional | None (both parts) | $25.70 | $30.90 | $257.04 |
Univera Setting Professional Modifier RR · Rental Typical Low $20.89 Median $25.70 Typical High $30.90 | Professional | RR · Rental | $20.89 | $25.70 | $30.90 |
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 $39.81 Median $42.66 Typical High $52.48 | Professional | 26 · Professional part | $39.81 | $42.66 | $52.48 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | KH · Purchase or 1st rental month | $20.89 | $20.89 | $20.89 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | KH · Purchase or 1st rental month | $20.89 | $20.89 | $20.89 |
Where New York sits
The same service costs 12.3 times more in Wyoming 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· 16th of 51
$126
WY $302IL $24.55
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.