How much rates vary
Facilitymedian $89 · 10th to 90th $60 to $155Professionalmedian $78 · 10th to 90th $58 to $89
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 $44.67 Median $63.10 Typical High $91.20 | Facility | None | $44.67 | $63.10 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $63.10 Typical High $91.20 | Professional | None | $38.90 | $63.10 | $91.20 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $46.77 Typical High $67.61 | Professional | UE · Used equipment | $28.84 | $46.77 | $67.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $177.83 | Facility | None | $89.13 | $89.13 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $138.04 | Professional | None | $74.13 | $74.13 | $138.04 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $7.41 Median $7.41 Typical High $13.49 | Professional | RR · Rental | $7.41 | $7.41 | $13.49 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | UE · Used equipment | $54.95 | $54.95 | $54.95 |
CDPHP Setting Professional Modifier None Typical Low $9.12 Median $67.61 Typical High $91.20 | Professional | None | $9.12 | $67.61 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $60.26 Typical High $114.82 | Facility | None | $25.70 | $60.26 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $81.28 | Professional | None | $51.29 | $60.26 | $81.28 |
Emblem Health Setting Facility Modifier None Typical Low $89.13 Median $147.91 Typical High $323.59 | Facility | None | $89.13 | $147.91 | $323.59 |
Emblem Health Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $89.13 | Professional | None | $57.54 | $57.54 | $89.13 |
Excellus BCBS Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Excellus BCBS Setting Professional Modifier None Typical Low $77.62 Median $81.28 Typical High $89.13 | Professional | None | $77.62 | $81.28 | $89.13 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $7.76 Median $8.13 Typical High $8.91 | Professional | RR · Rental | $7.76 | $8.13 | $8.91 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $58.88 Median $60.26 Typical High $64.57 | Professional | UE · Used equipment | $58.88 | $60.26 | $64.57 |
Highmark BCBS Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
MVP Health Care Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
MVP Health Care Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $100.00 | Professional | None | $52.48 | $52.48 | $100.00 |
United Setting Professional Modifier None Typical Low $43.65 Median $64.57 Typical High $85.11 | Professional | None | $43.65 | $64.57 | $85.11 |
United Setting Professional Modifier RR · Rental Typical Low $4.37 Median $6.46 Typical High $8.51 | Professional | RR · Rental | $4.37 | $6.46 | $8.51 |
United Setting Professional Modifier UE · Used equipment Typical Low $33.11 Median $47.86 Typical High $64.57 | Professional | UE · Used equipment | $33.11 | $47.86 | $64.57 |
Univera Setting Facility Modifier None Typical Low $81.28 Median $89.13 Typical High $89.13 | Facility | None | $81.28 | $89.13 | $89.13 |
Univera Setting Professional Modifier None Typical Low $77.62 Median $85.11 Typical High $89.13 | Professional | None | $77.62 | $85.11 | $89.13 |
Univera Setting Professional Modifier RR · Rental Typical Low $7.76 Median $8.51 Typical High $8.91 | Professional | RR · Rental | $7.76 | $8.51 | $8.91 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $58.88 Median $60.26 Typical High $64.57 | Professional | UE · Used equipment | $58.88 | $60.26 | $64.57 |
4 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 KH · Purchase or 1st rental month Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | KH · Purchase or 1st rental month | $7.76 | $7.76 | $7.76 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | KU · Bidding program group 3 | $100.00 | $100.00 | $100.00 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | KH · Purchase or 1st rental month | $7.76 | $7.76 | $7.76 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | KU · Bidding program group 3 | $100.00 | $100.00 | $100.00 |
Where New York sits
The same service costs 2.7 times more in Kansas 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· 15th of 51
$79.43
KS $129IL $47.86
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.