How much rates vary
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 $602.56 Median $602.56 Typical High $707.95 | Facility | None | $602.56 | $602.56 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier RR · Rental Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | RR · Rental | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | UE · Used equipment | $524.81 | $524.81 | $524.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,148.15 Typical High $1,698.24 | Professional | None (both parts) | $1,148.15 | $1,148.15 | $1,698.24 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $95.50 Median $169.82 Typical High $316.23 | Professional | RR · Rental | $95.50 | $169.82 | $316.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | UE · Used equipment | $851.14 | $851.14 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,202.26 | Facility | None | $1,148.15 | $1,148.15 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $977.24 Typical High $977.24 | Professional | None (both parts) | $831.76 | $977.24 | $977.24 |
Cigna Setting Professional Modifier RR · Rental Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | RR · Rental | $97.72 | $97.72 | $97.72 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None (both parts) | $1,659.59 | $1,659.59 | $1,659.59 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | RR · Rental | $138.04 | $138.04 | $138.04 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Excellus BCBS Setting Facility Modifier RR · Rental Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | RR · Rental | $138.04 | $138.04 | $138.04 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $1,659.59 | Professional | None (both parts) | $426.58 | $426.58 | $1,659.59 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $42.66 Median $42.66 Typical High $138.04 | Professional | RR · Rental | $42.66 | $42.66 | $138.04 |
Fidelis Setting Professional Modifier RR · Rental Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | RR · Rental | $91.20 | $91.20 | $91.20 |
MVP Health Care Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $3,548.13 | Facility | None | $302.00 | $302.00 | $3,548.13 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None (both parts) | $1,995.26 | $1,995.26 | $1,995.26 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $436.52 Typical High $467.74 | Professional | None (both parts) | $63.10 | $436.52 | $467.74 |
United Setting Professional Modifier RR · Rental Typical Low $37.15 Median $43.65 Typical High $46.77 | Professional | RR · Rental | $37.15 | $43.65 | $46.77 |
United Setting Professional Modifier UE · Used equipment Typical Low $263.03 Median $295.12 Typical High $346.74 | Professional | UE · Used equipment | $263.03 | $295.12 | $346.74 |
Univera Setting Facility Modifier None Typical Low $426.58 Median $1,659.59 Typical High $1,659.59 | Facility | None | $426.58 | $1,659.59 | $1,659.59 |
Univera Setting Facility Modifier RR · Rental Typical Low $42.66 Median $138.04 Typical High $165.96 | Facility | RR · Rental | $42.66 | $138.04 | $165.96 |
Univera Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $1,659.59 | Professional | None (both parts) | $426.58 | $426.58 | $1,659.59 |
Univera Setting Professional Modifier RR · Rental Typical Low $42.66 Median $42.66 Typical High $138.04 | Professional | RR · Rental | $42.66 | $42.66 | $138.04 |
2 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | MS · Maintenance fee | $60.26 | $60.26 | $60.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $158.49 Typical High $234.42 | Professional | 26 · Professional part | $151.36 | $158.49 | $234.42 |
Where New York sits
The same service costs 51.3 times more in Minnesota than in Nebraska. 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· 11th of 51
$977
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.