How much rates vary
Facilitymedian $62 · 10th to 90th $35 to $120Professionalmedian $62 · 10th to 90th $47 to $74
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 $34.67 Median $53.70 Typical High $79.43 | Facility | None | $34.67 | $53.70 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $53.70 Typical High $79.43 | Professional | None | $51.29 | $53.70 | $79.43 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $25.70 Median $40.74 Typical High $60.26 | Professional | UE · Used equipment | $25.70 | $40.74 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $120.23 | Professional | None | $67.61 | $67.61 | $120.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.76 Median $6.76 Typical High $11.48 | Professional | RR · Rental | $6.76 | $6.76 | $11.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | UE · Used equipment | $50.12 | $50.12 | $50.12 |
CDPHP Setting Professional Modifier None Typical Low $7.94 Median $60.26 Typical High $79.43 | Professional | None | $7.94 | $60.26 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $35.48 Typical High $107.15 | Facility | None | $23.99 | $35.48 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $35.48 Typical High $74.13 | Professional | None | $30.20 | $35.48 | $74.13 |
Emblem Health Setting Facility Modifier None Typical Low $81.28 Median $131.83 Typical High $288.40 | Facility | None | $81.28 | $131.83 | $288.40 |
Emblem Health Setting Professional Modifier None Typical Low $51.29 Median $52.48 Typical High $81.28 | Professional | None | $51.29 | $52.48 | $81.28 |
Excellus BCBS Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Excellus BCBS Setting Professional Modifier None Typical Low $58.88 Median $61.66 Typical High $69.18 | Professional | None | $58.88 | $61.66 | $69.18 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $5.75 Median $6.17 Typical High $6.92 | Professional | RR · Rental | $5.75 | $6.17 | $6.92 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $42.66 Median $43.65 Typical High $51.29 | Professional | UE · Used equipment | $42.66 | $43.65 | $51.29 |
Highmark BCBS Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
MVP Health Care Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
MVP Health Care Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $46.77 | Professional | None | $6.46 | $6.46 | $46.77 |
United Setting Professional Modifier None Typical Low $31.62 Median $50.12 Typical High $69.18 | Professional | None | $31.62 | $50.12 | $69.18 |
United Setting Professional Modifier RR · Rental Typical Low $3.16 Median $5.01 Typical High $6.92 | Professional | RR · Rental | $3.16 | $5.01 | $6.92 |
United Setting Professional Modifier UE · Used equipment Typical Low $23.99 Median $38.02 Typical High $51.29 | Professional | UE · Used equipment | $23.99 | $38.02 | $51.29 |
Univera Setting Facility Modifier None Typical Low $58.88 Median $61.66 Typical High $67.61 | Facility | None | $58.88 | $61.66 | $67.61 |
Univera Setting Professional Modifier None Typical Low $58.88 Median $61.66 Typical High $69.18 | Professional | None | $58.88 | $61.66 | $69.18 |
Univera Setting Professional Modifier RR · Rental Typical Low $5.75 Median $6.17 Typical High $6.92 | Professional | RR · Rental | $5.75 | $6.17 | $6.92 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $42.66 Median $46.77 Typical High $51.29 | Professional | UE · Used equipment | $42.66 | $46.77 | $51.29 |
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 $6.92 Median $6.92 Typical High $6.92 | Professional | KH · Purchase or 1st rental month | $6.92 | $6.92 | $6.92 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | KU · Bidding program group 3 | $83.18 | $83.18 | $83.18 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | KH · Purchase or 1st rental month | $6.92 | $6.92 | $6.92 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | KU · Bidding program group 3 | $83.18 | $83.18 | $83.18 |
Where New York sits
The same service costs 3.2 times more in Hawaii than in Texas. 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
$61.66
HI $112TX $35.48
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.