How much rates vary
Facilitymedian $38 · 10th to 90th $25 to $59Professionalmedian $34 · 10th to 90th $24 to $38
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 $22.91 Median $28.18 Typical High $38.90 | Facility | None | $22.91 | $28.18 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $28.18 Typical High $38.90 | Professional | None | $16.60 | $28.18 | $38.90 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $12.59 Median $21.38 Typical High $29.51 | Professional | UE · Used equipment | $12.59 | $21.38 | $29.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $61.66 | Professional | None | $28.84 | $28.84 | $61.66 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.88 Median $2.88 Typical High $5.75 | Professional | RR · Rental | $2.88 | $2.88 | $5.75 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | UE · Used equipment | $21.88 | $21.88 | $21.88 |
CDPHP Setting Professional Modifier None Typical Low $4.17 Median $30.90 Typical High $41.69 | Professional | None | $4.17 | $30.90 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $24.55 Typical High $56.23 | Facility | None | $12.30 | $24.55 | $56.23 |
Cigna Setting Facility Modifier RR · Rental Typical Low $2.19 Median $2.45 Typical High $10.00 | Facility | RR · Rental | $2.19 | $2.45 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $24.55 Typical High $32.36 | Professional | None | $20.42 | $24.55 | $32.36 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.04 Median $2.45 Typical High $3.16 | Professional | RR · Rental | $2.04 | $2.45 | $3.16 |
Emblem Health Setting Facility Modifier None Typical Low $35.48 Median $58.88 Typical High $128.82 | Facility | None | $35.48 | $58.88 | $128.82 |
Emblem Health Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $35.48 | Professional | None | $22.91 | $22.91 | $35.48 |
Excellus BCBS Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Excellus BCBS Setting Professional Modifier None Typical Low $33.88 Median $35.48 Typical High $38.02 | Professional | None | $33.88 | $35.48 | $38.02 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $3.39 Median $3.55 Typical High $3.80 | Professional | RR · Rental | $3.39 | $3.55 | $3.80 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $25.12 Median $26.30 Typical High $28.18 | Professional | UE · Used equipment | $25.12 | $26.30 | $28.18 |
Highmark BCBS Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
MVP Health Care Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
MVP Health Care Setting Professional Modifier None Typical Low $5.89 Median $20.89 Typical High $33.11 | Professional | None | $5.89 | $20.89 | $33.11 |
United Setting Professional Modifier None Typical Low $19.50 Median $27.54 Typical High $39.81 | Professional | None | $19.50 | $27.54 | $39.81 |
United Setting Professional Modifier RR · Rental Typical Low $1.95 Median $2.75 Typical High $3.80 | Professional | RR · Rental | $1.95 | $2.75 | $3.80 |
United Setting Professional Modifier UE · Used equipment Typical Low $14.45 Median $20.89 Typical High $28.18 | Professional | UE · Used equipment | $14.45 | $20.89 | $28.18 |
Univera Setting Facility Modifier None Typical Low $35.48 Median $38.02 Typical High $45.71 | Facility | None | $35.48 | $38.02 | $45.71 |
Univera Setting Professional Modifier None Typical Low $33.88 Median $38.02 Typical High $38.02 | Professional | None | $33.88 | $38.02 | $38.02 |
Univera Setting Professional Modifier RR · Rental Typical Low $3.39 Median $3.80 Typical High $3.80 | Professional | RR · Rental | $3.39 | $3.80 | $3.80 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $25.12 Median $26.30 Typical High $28.18 | Professional | UE · Used equipment | $25.12 | $26.30 | $28.18 |
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 $3.39 Median $3.39 Typical High $3.39 | Professional | KH · Purchase or 1st rental month | $3.39 | $3.39 | $3.39 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | KU · Bidding program group 3 | $50.12 | $50.12 | $50.12 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | KH · Purchase or 1st rental month | $3.39 | $3.39 | $3.39 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | KU · Bidding program group 3 | $50.12 | $50.12 | $50.12 |
Where New York sits
The same service costs 13.5 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· 14th of 51
$34.67
KS $64.57IL $4.79
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.