How much rates vary
Facilitymedian $46 · 10th to 90th $46 to $257Professionalmedian $46 · 10th to 90th $26 to $282
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 $489.78 | Facility | None | $144.54 | $186.21 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $489.78 | Professional | None (both parts) | $186.21 | $186.21 | $489.78 |
Aetna Setting Professional Modifier RR · Rental Typical Low $10.00 Median $10.00 Typical High $131.83 | Professional | RR · Rental | $10.00 | $10.00 | $131.83 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $138.04 Median $138.04 Typical High $363.08 | Professional | UE · Used equipment | $138.04 | $138.04 | $363.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $363.08 | Professional | None (both parts) | $281.84 | $281.84 | $363.08 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $28.18 Median $28.18 Typical High $69.18 | Professional | RR · Rental | $28.18 | $28.18 | $69.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | UE · Used equipment | $208.93 | $208.93 | $208.93 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $616.60 | Professional | None (both parts) | $46.77 | $46.77 | $616.60 |
Cigna Setting Facility Modifier RR · Rental Typical Low $13.18 Median $30.90 Typical High $58.88 | Facility | RR · Rental | $13.18 | $30.90 | $58.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $38.90 Typical High $691.83 | Professional | None (both parts) | $35.48 | $38.90 | $691.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | RR · Rental | $26.30 | $26.30 | $26.30 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $50.12 Median $81.28 Typical High $177.83 | Facility | RR · Rental | $50.12 | $81.28 | $177.83 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None (both parts) | $45.71 | $45.71 | $45.71 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $45.71 Median $54.95 Typical High $85.11 | Professional | RR · Rental | $45.71 | $54.95 | $85.11 |
Excellus BCBS Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Excellus BCBS Setting Facility Modifier RR · Rental Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | RR · Rental | $45.71 | $45.71 | $45.71 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $25.70 Median $45.71 Typical High $257.04 | Professional | None (both parts) | $25.70 | $45.71 | $257.04 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $25.70 Median $42.66 Typical High $45.71 | Professional | RR · Rental | $25.70 | $42.66 | $45.71 |
MVP Health Care Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $37.15 | $37.15 | $37.15 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | RR · Rental | $26.92 | $26.92 | $26.92 |
United Setting Professional Modifier None (both parts) Typical Low $16.22 Median $26.92 Typical High $33.88 | Professional | None (both parts) | $16.22 | $26.92 | $33.88 |
United Setting Professional Modifier RR · Rental Typical Low $16.22 Median $26.92 Typical High $36.31 | Professional | RR · Rental | $16.22 | $26.92 | $36.31 |
Univera Setting Facility Modifier None Typical Low $25.70 Median $45.71 Typical High $257.04 | Facility | None | $25.70 | $45.71 | $257.04 |
Univera Setting Facility Modifier RR · Rental Typical Low $25.70 Median $45.71 Typical High $45.71 | Facility | RR · Rental | $25.70 | $45.71 | $45.71 |
Univera Setting Professional Modifier None (both parts) Typical Low $25.70 Median $45.71 Typical High $257.04 | Professional | None (both parts) | $25.70 | $45.71 | $257.04 |
Univera Setting Professional Modifier RR · Rental Typical Low $25.70 Median $42.66 Typical High $45.71 | Professional | RR · Rental | $25.70 | $42.66 | $45.71 |
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 $42.66 Median $42.66 Typical High $42.66 | Professional | KH · Purchase or 1st rental month | $42.66 | $42.66 | $42.66 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | KH · Purchase or 1st rental month | $42.66 | $42.66 | $42.66 |
Where New York sits
The same service costs 29.5 times more in Wyoming than in Oklahoma. 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· 40th of 51
$45.71
WY $676OK $22.91
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.