How much rates vary
Facilitymedian $9,120 · 10th to 90th $3,548 to $15,849Professionalmedian $8,913 · 10th to 90th $6,607 to $13,490
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $5,888.44 Median $9,120.11 Typical High $14,791.08 | Facility | None | $5,888.44 | $9,120.11 | $14,791.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $9,120.11 Median $9,120.11 Typical High $14,791.08 | Professional | None (both parts) | $9,120.11 | $9,120.11 | $14,791.08 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $6,760.83 Median $6,760.83 Typical High $11,220.18 | Professional | UE · Used equipment | $6,760.83 | $6,760.83 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $6,606.93 Median $6,606.93 Typical High $18,197.01 | Professional | None (both parts) | $6,606.93 | $6,606.93 | $18,197.01 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $660.69 Median $660.69 Typical High $2,884.03 | Professional | RR · Rental | $660.69 | $660.69 | $2,884.03 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5,011.87 Median $5,011.87 Typical High $8,912.51 | Professional | UE · Used equipment | $5,011.87 | $5,011.87 | $8,912.51 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $16,595.87 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $16,595.87 |
Cigna Setting Facility Modifier None Typical Low $2,630.27 Median $12,302.69 Typical High $17,782.79 | Facility | None | $2,630.27 | $12,302.69 | $17,782.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $11,220.18 Median $11,220.18 Typical High $11,220.18 | Professional | None (both parts) | $11,220.18 | $11,220.18 | $11,220.18 |
Cigna Setting Professional Modifier RR · Rental Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | RR · Rental | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Professional | UE · Used equipment | $8,317.64 | $8,317.64 | $8,317.64 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $15,488.17 Median $15,488.17 Typical High $15,488.17 | Professional | None (both parts) | $15,488.17 | $15,488.17 | $15,488.17 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $8,912.51 Median $9,120.11 Typical High $9,549.93 | Professional | None (both parts) | $8,912.51 | $9,120.11 | $9,549.93 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $891.25 Median $912.01 Typical High $954.99 | Professional | RR · Rental | $891.25 | $912.01 | $954.99 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $6,606.93 Median $6,760.83 Typical High $7,244.36 | Professional | UE · Used equipment | $6,606.93 | $6,760.83 | $7,244.36 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $954.99 Median $954.99 Typical High $2,570.40 | Professional | RR · Rental | $954.99 | $954.99 | $2,570.40 |
United Setting Professional Modifier None (both parts) Typical Low $5,128.61 Median $8,128.31 Typical High $11,220.18 | Professional | None (both parts) | $5,128.61 | $8,128.31 | $11,220.18 |
United Setting Professional Modifier RR · Rental Typical Low $512.86 Median $954.99 Typical High $1,174.90 | Professional | RR · Rental | $512.86 | $954.99 | $1,174.90 |
United Setting Professional Modifier UE · Used equipment Typical Low $3,890.45 Median $6,025.60 Typical High $8,317.64 | Professional | UE · Used equipment | $3,890.45 | $6,025.60 | $8,317.64 |
Univera Setting Facility Modifier None Typical Low $8,709.64 Median $9,120.11 Typical High $9,120.11 | Facility | None | $8,709.64 | $9,120.11 | $9,120.11 |
Univera Setting Professional Modifier None (both parts) Typical Low $5,370.32 Median $9,120.11 Typical High $9,549.93 | Professional | None (both parts) | $5,370.32 | $9,120.11 | $9,549.93 |
Univera Setting Professional Modifier RR · Rental Typical Low $537.03 Median $912.01 Typical High $954.99 | Professional | RR · Rental | $537.03 | $912.01 | $954.99 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $3,981.07 Median $6,760.83 Typical High $7,244.36 | Professional | UE · Used equipment | $3,981.07 | $6,760.83 | $7,244.36 |
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 $870.96 Median $1,737.80 Typical High $2,238.72 | Professional | 26 · Professional part | $870.96 | $1,737.80 | $2,238.72 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $16,595.87 Median $16,595.87 Typical High $16,595.87 | Professional | RB · Replacement part | $16,595.87 | $16,595.87 | $16,595.87 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $16,595.87 Median $16,595.87 Typical High $16,595.87 | Professional | RB · Replacement part | $16,595.87 | $16,595.87 | $16,595.87 |
Where New York sits
The same service costs 8.3 times more in North Dakota than in Washington. 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
$8,913
ND $17,783WA $2,138
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.