How much rates vary
Facilitymedian $44 · 10th to 90th $33 to $105Professionalmedian $38 · 10th to 90th $28 to $47
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 $21.38 Median $30.20 Typical High $48.98 | Facility | None | $21.38 | $30.20 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $48.98 | Professional | None | $30.20 | $30.20 | $48.98 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $22.39 Median $22.39 Typical High $36.31 | Professional | UE · Used equipment | $22.39 | $22.39 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $104.71 | Facility | None | $52.48 | $52.48 | $104.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $72.44 | Professional | None | $40.74 | $40.74 | $72.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.07 Median $4.07 Typical High $6.61 | Professional | RR · Rental | $4.07 | $4.07 | $6.61 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | UE · Used equipment | $30.90 | $30.90 | $30.90 |
CDPHP Setting Professional Modifier None Typical Low $4.27 Median $32.36 Typical High $42.66 | Professional | None | $4.27 | $32.36 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $33.11 Typical High $63.10 | Facility | None | $14.13 | $33.11 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $43.65 | Professional | None | $28.18 | $33.11 | $43.65 |
Emblem Health Setting Facility Modifier None Typical Low $52.48 Median $85.11 Typical High $186.21 | Facility | None | $52.48 | $85.11 | $186.21 |
Emblem Health Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $52.48 | Professional | None | $32.36 | $33.88 | $52.48 |
Excellus BCBS Setting Professional Modifier None Typical Low $35.48 Median $36.31 Typical High $42.66 | Professional | None | $35.48 | $36.31 | $42.66 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $3.55 Median $3.63 Typical High $4.27 | Professional | RR · Rental | $3.55 | $3.63 | $4.27 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $26.30 Median $26.92 Typical High $31.62 | Professional | UE · Used equipment | $26.30 | $26.92 | $31.62 |
Highmark BCBS Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
MVP Health Care Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $57.54 | Professional | None | $30.20 | $30.20 | $57.54 |
United Setting Professional Modifier None Typical Low $20.89 Median $30.90 Typical High $40.74 | Professional | None | $20.89 | $30.90 | $40.74 |
United Setting Professional Modifier RR · Rental Typical Low $2.14 Median $3.09 Typical High $4.17 | Professional | RR · Rental | $2.14 | $3.09 | $4.17 |
United Setting Professional Modifier UE · Used equipment Typical Low $15.85 Median $23.44 Typical High $30.90 | Professional | UE · Used equipment | $15.85 | $23.44 | $30.90 |
Univera Setting Facility Modifier None Typical Low $35.48 Median $36.31 Typical High $37.15 | Facility | None | $35.48 | $36.31 | $37.15 |
Univera Setting Professional Modifier None Typical Low $35.48 Median $36.31 Typical High $42.66 | Professional | None | $35.48 | $36.31 | $42.66 |
Univera Setting Professional Modifier RR · Rental Typical Low $3.55 Median $3.63 Typical High $4.27 | Professional | RR · Rental | $3.55 | $3.63 | $4.27 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $26.30 Median $26.92 Typical High $31.62 | Professional | UE · Used equipment | $26.30 | $26.92 | $31.62 |
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 $4.27 Median $4.27 Typical High $4.27 | Professional | KH · Purchase or 1st rental month | $4.27 | $4.27 | $4.27 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | KU · Bidding program group 3 | $44.67 | $44.67 | $44.67 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | KH · Purchase or 1st rental month | $4.27 | $4.27 | $4.27 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | KU · Bidding program group 3 | $44.67 | $44.67 | $44.67 |
Where New York sits
The same service costs 2.3 times more in Kansas 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· 28th of 51
$38.02
KS $54.95NM $23.99
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.