How much rates vary
Facilitymedian $126 · 10th to 90th $95 to $240Professionalmedian $115 · 10th to 90th $89 to $132
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 $63.10 Median $89.13 Typical High $138.04 | Facility | None | $63.10 | $89.13 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $138.04 | Professional | None | $89.13 | $89.13 | $138.04 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $66.07 Typical High $102.33 | Professional | UE · Used equipment | $47.86 | $66.07 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $281.84 | Facility | None | $141.25 | $141.25 | $281.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $204.17 | Professional | None | $114.82 | $114.82 | $204.17 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $11.48 Median $11.48 Typical High $19.50 | Professional | RR · Rental | $11.48 | $11.48 | $19.50 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | UE · Used equipment | $87.10 | $87.10 | $87.10 |
CDPHP Setting Professional Modifier None Typical Low $13.49 Median $100.00 Typical High $134.90 | Professional | None | $13.49 | $100.00 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $95.50 Typical High $181.97 | Facility | None | $40.74 | $95.50 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $123.03 | Professional | None | $81.28 | $95.50 | $123.03 |
Emblem Health Setting Facility Modifier None Typical Low $141.25 Median $229.09 Typical High $501.19 | Facility | None | $141.25 | $229.09 | $501.19 |
Emblem Health Setting Professional Modifier None Typical Low $87.10 Median $91.20 Typical High $141.25 | Professional | None | $87.10 | $91.20 | $141.25 |
Excellus BCBS Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Excellus BCBS Setting Professional Modifier None Typical Low $112.20 Median $117.49 Typical High $125.89 | Professional | None | $112.20 | $117.49 | $125.89 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $11.22 Median $11.75 Typical High $12.59 | Professional | RR · Rental | $11.22 | $11.75 | $12.59 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $83.18 Median $85.11 Typical High $89.13 | Professional | UE · Used equipment | $83.18 | $85.11 | $89.13 |
Highmark BCBS Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
MVP Health Care Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
MVP Health Care Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $154.88 | Professional | None | $81.28 | $81.28 | $154.88 |
United Setting Professional Modifier None Typical Low $61.66 Median $97.72 Typical High $123.03 | Professional | None | $61.66 | $97.72 | $123.03 |
United Setting Professional Modifier RR · Rental Typical Low $6.17 Median $9.33 Typical High $12.30 | Professional | RR · Rental | $6.17 | $9.33 | $12.30 |
United Setting Professional Modifier UE · Used equipment Typical Low $45.71 Median $69.18 Typical High $93.33 | Professional | UE · Used equipment | $45.71 | $69.18 | $93.33 |
Univera Setting Facility Modifier None Typical Low $109.65 Median $125.89 Typical High $125.89 | Facility | None | $109.65 | $125.89 | $125.89 |
Univera Setting Professional Modifier None Typical Low $112.20 Median $120.23 Typical High $125.89 | Professional | None | $112.20 | $120.23 | $125.89 |
Univera Setting Professional Modifier RR · Rental Typical Low $11.22 Median $12.02 Typical High $12.59 | Professional | RR · Rental | $11.22 | $12.02 | $12.59 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $83.18 Median $89.13 Typical High $89.13 | Professional | UE · Used equipment | $83.18 | $89.13 | $89.13 |
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 $11.75 Median $11.75 Typical High $11.75 | Professional | KH · Purchase or 1st rental month | $11.75 | $11.75 | $11.75 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | KU · Bidding program group 3 | $138.04 | $138.04 | $138.04 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | KH · Purchase or 1st rental month | $11.75 | $11.75 | $11.75 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | KU · Bidding program group 3 | $138.04 | $138.04 | $138.04 |
Where New York sits
The same service costs 2.5 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· 24th of 51
$115
HI $178NM $70.79
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.