How much rates vary
Facilitymedian $186 · 10th to 90th $129 to $245Professionalmedian $166 · 10th to 90th $107 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 $93.33 Median $120.23 Typical High $177.83 | Facility | None | $93.33 | $120.23 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $120.23 Typical High $177.83 | Professional | None | $79.43 | $120.23 | $177.83 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $60.26 Median $91.20 Typical High $134.90 | Professional | UE · Used equipment | $60.26 | $91.20 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $323.59 | Facility | None | $162.18 | $162.18 | $323.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $239.88 | Professional | None | $141.25 | $141.25 | $239.88 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $14.13 Median $14.13 Typical High $26.30 | Professional | RR · Rental | $14.13 | $14.13 | $26.30 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | UE · Used equipment | $104.71 | $104.71 | $104.71 |
CDPHP Setting Professional Modifier None Typical Low $17.78 Median $128.82 Typical High $234.42 | Professional | None | $17.78 | $128.82 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $128.82 Typical High $218.78 | Facility | None | $48.98 | $128.82 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $131.83 | Professional | None | $109.65 | $128.82 | $131.83 |
Emblem Health Setting Facility Modifier None Typical Low $186.21 Median $245.47 Typical High $338.84 | Facility | None | $186.21 | $245.47 | $338.84 |
Emblem Health Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $162.18 | Professional | None | $104.71 | $104.71 | $162.18 |
Excellus BCBS Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Excellus BCBS Setting Professional Modifier None Typical Low $165.96 Median $169.82 Typical High $186.21 | Professional | None | $165.96 | $169.82 | $186.21 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $15.49 Median $16.60 Typical High $18.62 | Professional | RR · Rental | $15.49 | $16.60 | $18.62 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $120.23 Median $123.03 Typical High $131.83 | Professional | UE · Used equipment | $120.23 | $123.03 | $131.83 |
Highmark BCBS Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
MVP Health Care Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $10.23 Median $10.23 Typical High $19.50 | Professional | RR · Rental | $10.23 | $10.23 | $19.50 |
United Setting Professional Modifier None Typical Low $79.43 Median $107.15 Typical High $162.18 | Professional | None | $79.43 | $107.15 | $162.18 |
United Setting Professional Modifier RR · Rental Typical Low $9.12 Median $12.59 Typical High $17.38 | Professional | RR · Rental | $9.12 | $12.59 | $17.38 |
United Setting Professional Modifier UE · Used equipment Typical Low $60.26 Median $79.43 Typical High $120.23 | Professional | UE · Used equipment | $60.26 | $79.43 | $120.23 |
Univera Setting Facility Modifier None Typical Low $165.96 Median $186.21 Typical High $186.21 | Facility | None | $165.96 | $186.21 | $186.21 |
Univera Setting Professional Modifier None Typical Low $165.96 Median $173.78 Typical High $186.21 | Professional | None | $165.96 | $173.78 | $186.21 |
Univera Setting Professional Modifier RR · Rental Typical Low $15.49 Median $17.38 Typical High $18.62 | Professional | RR · Rental | $15.49 | $17.38 | $18.62 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $120.23 Median $123.03 Typical High $186.21 | Professional | UE · Used equipment | $120.23 | $123.03 | $186.21 |
8 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 |
|---|---|---|---|---|---|
Excellus BCBS Setting Professional Modifier BP · Chose to purchase Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | BP · Chose to purchase | $154.88 | $154.88 | $154.88 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | KH · Purchase or 1st rental month | $15.49 | $15.49 | $15.49 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | KU · Bidding program group 3 | $245.47 | $245.47 | $245.47 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | RB · Replacement part | $199.53 | $199.53 | $199.53 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | BP · Chose to purchase | $154.88 | $154.88 | $154.88 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | KH · Purchase or 1st rental month | $15.49 | $15.49 | $15.49 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | KU · Bidding program group 3 | $245.47 | $245.47 | $245.47 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | RB · Replacement part | $199.53 | $199.53 | $199.53 |
Where New York sits
The same service costs 2.8 times more in Hawaii than in New Mexico. 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
$166
HI $224NM $79.43
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.