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 $1,258.93 Median $1,995.26 Typical High $3,235.94 | Facility | None | $1,258.93 | $1,995.26 | $3,235.94 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $3,235.94 | Professional | None | $1,995.26 | $1,995.26 | $3,235.94 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,513.56 Median $1,513.56 Typical High $2,454.71 | Professional | UE · Used equipment | $1,513.56 | $1,513.56 | $2,454.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,884.03 | Professional | None | $2,570.40 | $2,570.40 | $2,884.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $257.04 Median $257.04 Typical High $446.68 | Professional | RR · Rental | $257.04 | $257.04 | $446.68 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | UE · Used equipment | $1,949.84 | $1,949.84 | $1,949.84 |
CDPHP Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $3,715.35 | Professional | None | $281.84 | $281.84 | $3,715.35 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $2,137.96 Typical High $3,630.78 | Facility | None | $794.33 | $2,137.96 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,137.96 Typical High $2,137.96 | Professional | None | $1,819.70 | $2,137.96 | $2,137.96 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $346.74 Median $575.44 Typical High $1,258.93 | Facility | RR · Rental | $346.74 | $575.44 | $1,258.93 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $213.80 Median $257.04 Typical High $354.81 | Professional | RR · Rental | $213.80 | $257.04 | $354.81 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,949.84 Median $1,995.26 Typical High $3,388.44 | Professional | None | $1,949.84 | $1,995.26 | $3,388.44 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $194.98 Median $199.53 Typical High $281.84 | Professional | RR · Rental | $194.98 | $199.53 | $281.84 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $208.93 Median $208.93 Typical High $389.05 | Professional | RR · Rental | $208.93 | $208.93 | $389.05 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,778.28 Typical High $2,511.89 | Professional | None | $977.24 | $1,778.28 | $2,511.89 |
United Setting Professional Modifier RR · Rental Typical Low $112.20 Median $181.97 Typical High $263.03 | Professional | RR · Rental | $112.20 | $181.97 | $263.03 |
United Setting Professional Modifier UE · Used equipment Typical Low $741.31 Median $1,348.96 Typical High $1,862.09 | Professional | UE · Used equipment | $741.31 | $1,348.96 | $1,862.09 |
Univera Setting Facility Modifier None Typical Low $1,949.84 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,949.84 | $1,995.26 | $1,995.26 |
Univera Setting Professional Modifier None Typical Low $1,949.84 Median $1,995.26 Typical High $3,388.44 | Professional | None | $1,949.84 | $1,995.26 | $3,388.44 |
Univera Setting Professional Modifier RR · Rental Typical Low $194.98 Median $199.53 Typical High $281.84 | Professional | RR · Rental | $194.98 | $199.53 | $281.84 |
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 $281.84 Median $281.84 Typical High $281.84 | Professional | KH · Purchase or 1st rental month | $281.84 | $281.84 | $281.84 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | RB · Replacement part | $3,715.35 | $3,715.35 | $3,715.35 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | KH · Purchase or 1st rental month | $281.84 | $281.84 | $281.84 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | RB · Replacement part | $3,715.35 | $3,715.35 | $3,715.35 |
Where New York sits
The same service costs 11.0 times more in North Dakota 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· 32nd of 51
$2,089
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.