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 $223.87 Median $331.13 Typical High $489.78 | Facility | None | $223.87 | $331.13 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $331.13 Typical High $489.78 | Professional | None | $173.78 | $331.13 | $489.78 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $109.65 Median $245.47 Typical High $371.54 | Professional | UE · Used equipment | $109.65 | $245.47 | $371.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $436.52 | Professional | None | $398.11 | $398.11 | $436.52 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $39.81 Median $39.81 Typical High $70.79 | Professional | RR · Rental | $39.81 | $39.81 | $70.79 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | UE · Used equipment | $295.12 | $295.12 | $295.12 |
CDPHP Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $616.60 | Professional | None | $47.86 | $47.86 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $239.88 Typical High $588.84 | Facility | None | $131.83 | $239.88 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $239.88 | Professional | None | $204.17 | $239.88 | $239.88 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $50.12 Median $81.28 Typical High $177.83 | Facility | RR · Rental | $50.12 | $81.28 | $177.83 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $30.90 Median $37.15 Typical High $48.98 | Professional | RR · Rental | $30.90 | $37.15 | $48.98 |
Excellus BCBS Setting Professional Modifier None Typical Low $346.74 Median $354.81 Typical High $380.19 | Professional | None | $346.74 | $354.81 | $380.19 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $34.67 Median $35.48 Typical High $42.66 | Professional | RR · Rental | $34.67 | $35.48 | $42.66 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $194.98 Median $204.17 Typical High $263.03 | Professional | UE · Used equipment | $194.98 | $204.17 | $263.03 |
MVP Health Care Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
United Setting Professional Modifier None Typical Low $169.82 Median $229.09 Typical High $371.54 | Professional | None | $169.82 | $229.09 | $371.54 |
United Setting Professional Modifier RR · Rental Typical Low $19.50 Median $30.90 Typical High $42.66 | Professional | RR · Rental | $19.50 | $30.90 | $42.66 |
United Setting Professional Modifier UE · Used equipment Typical Low $128.82 Median $169.82 Typical High $281.84 | Professional | UE · Used equipment | $128.82 | $169.82 | $281.84 |
Univera Setting Facility Modifier None Typical Low $323.59 Median $354.81 Typical High $354.81 | Facility | None | $323.59 | $354.81 | $354.81 |
Univera Setting Professional Modifier None Typical Low $346.74 Median $354.81 Typical High $380.19 | Professional | None | $346.74 | $354.81 | $380.19 |
Univera Setting Professional Modifier RR · Rental Typical Low $34.67 Median $35.48 Typical High $42.66 | Professional | RR · Rental | $34.67 | $35.48 | $42.66 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $194.98 Median $204.17 Typical High $263.03 | Professional | UE · Used equipment | $194.98 | $204.17 | $263.03 |
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 $42.66 Median $42.66 Typical High $42.66 | Professional | KH · Purchase or 1st rental month | $42.66 | $42.66 | $42.66 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | RB · Replacement part | $549.54 | $549.54 | $549.54 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | KH · Purchase or 1st rental month | $42.66 | $42.66 | $42.66 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | RB · Replacement part | $549.54 | $549.54 | $549.54 |
Where New York sits
The same service costs 12.3 times more in Kansas than in Mississippi. 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· 21st of 51
$355
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.