How much rates vary
Facilitymedian $155 · 10th to 90th $126 to $245Professionalmedian $155 · 10th to 90th $110 to $166
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 $95.50 Median $147.91 Typical High $239.88 | Facility | None | $95.50 | $147.91 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $239.88 | Professional | None | $147.91 | $147.91 | $239.88 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $109.65 Median $109.65 Typical High $181.97 | Professional | UE · Used equipment | $109.65 | $109.65 | $181.97 |
Anthem BCBS Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $173.78 | Professional | None | $158.49 | $158.49 | $173.78 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $15.85 Median $15.85 Typical High $33.88 | Professional | RR · Rental | $15.85 | $15.85 | $33.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | UE · Used equipment | $120.23 | $120.23 | $120.23 |
CDPHP Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $269.15 | Professional | None | $20.89 | $20.89 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $154.88 Typical High $257.04 | Facility | None | $57.54 | $154.88 | $257.04 |
Cigna Setting Facility Modifier RR · Rental Typical Low $6.61 Median $15.49 Typical High $30.20 | Facility | RR · Rental | $6.61 | $15.49 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $154.88 Typical High $154.88 | Professional | None | $131.83 | $154.88 | $154.88 |
Cigna Setting Professional Modifier RR · Rental Typical Low $13.18 Median $15.49 Typical High $15.49 | Professional | RR · Rental | $13.18 | $15.49 | $15.49 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $25.70 Median $41.69 Typical High $91.20 | Facility | RR · Rental | $25.70 | $41.69 | $91.20 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $15.85 Median $19.05 Typical High $25.70 | Professional | RR · Rental | $15.85 | $19.05 | $25.70 |
Excellus BCBS Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $154.88 | Professional | None | $144.54 | $144.54 | $154.88 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $14.45 Median $14.45 Typical High $20.89 | Professional | RR · Rental | $14.45 | $14.45 | $20.89 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $83.18 Median $89.13 Typical High $109.65 | Professional | UE · Used equipment | $83.18 | $89.13 | $109.65 |
MVP Health Care Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier None Typical Low $70.79 Median $128.82 Typical High $181.97 | Professional | None | $70.79 | $128.82 | $181.97 |
United Setting Professional Modifier RR · Rental Typical Low $8.13 Median $13.18 Typical High $19.05 | Professional | RR · Rental | $8.13 | $13.18 | $19.05 |
United Setting Professional Modifier UE · Used equipment Typical Low $52.48 Median $95.50 Typical High $131.83 | Professional | UE · Used equipment | $52.48 | $95.50 | $131.83 |
Univera Setting Facility Modifier None Typical Low $125.89 Median $144.54 Typical High $144.54 | Facility | None | $125.89 | $144.54 | $144.54 |
Univera Setting Professional Modifier None Typical Low $85.11 Median $144.54 Typical High $154.88 | Professional | None | $85.11 | $144.54 | $154.88 |
Univera Setting Professional Modifier RR · Rental Typical Low $14.45 Median $14.45 Typical High $20.89 | Professional | RR · Rental | $14.45 | $14.45 | $20.89 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $89.13 Typical High $109.65 | Professional | UE · Used equipment | $47.86 | $89.13 | $109.65 |
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 $20.89 Median $20.89 Typical High $20.89 | Professional | KH · Purchase or 1st rental month | $20.89 | $20.89 | $20.89 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | RB · Replacement part | $269.15 | $269.15 | $269.15 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | KH · Purchase or 1st rental month | $20.89 | $20.89 | $20.89 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | RB · Replacement part | $269.15 | $269.15 | $269.15 |
Where New York sits
The same service costs 16.2 times more in Kansas than in Rhode Island. 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· 22nd of 51
$155
KS $407RI $25.12
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.