How much rates vary
Facilitymedian $174 · 10th to 90th $162 to $389Professionalmedian $178 · 10th to 90th $138 to $251
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 $107.15 Median $158.49 Typical High $245.47 | Facility | None | $107.15 | $158.49 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $245.47 | Professional | None | $158.49 | $158.49 | $245.47 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $120.23 Median $120.23 Typical High $186.21 | Professional | UE · Used equipment | $120.23 | $120.23 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $426.58 | Facility | None | $213.80 | $213.80 | $426.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $275.42 | Professional | None | $208.93 | $208.93 | $275.42 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $20.89 Median $20.89 Typical High $35.48 | Professional | RR · Rental | $20.89 | $20.89 | $35.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | UE · Used equipment | $154.88 | $154.88 | $154.88 |
CDPHP Setting Professional Modifier None Typical Low $23.44 Median $162.18 Typical High $302.00 | Professional | None | $23.44 | $162.18 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $173.78 Typical High $302.00 | Facility | None | $67.61 | $173.78 | $302.00 |
Cigna Setting Facility Modifier RR · Rental Typical Low $7.24 Median $17.38 Typical High $32.36 | Facility | RR · Rental | $7.24 | $17.38 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $173.78 Typical High $173.78 | Professional | None | $147.91 | $173.78 | $173.78 |
Cigna Setting Professional Modifier RR · Rental Typical Low $14.79 Median $17.38 Typical High $17.38 | Professional | RR · Rental | $14.79 | $17.38 | $17.38 |
Emblem Health Setting Facility Modifier None Typical Low $245.47 Median $323.59 Typical High $446.68 | Facility | None | $245.47 | $323.59 | $446.68 |
Emblem Health Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $213.80 | Professional | None | $138.04 | $138.04 | $213.80 |
Excellus BCBS Setting Professional Modifier None Typical Low $162.18 Median $165.96 Typical High $251.19 | Professional | None | $162.18 | $165.96 | $251.19 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $16.22 Median $16.60 Typical High $21.38 | Professional | RR · Rental | $16.22 | $16.60 | $21.38 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $123.03 Median $123.03 Typical High $131.83 | Professional | UE · Used equipment | $123.03 | $123.03 | $131.83 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $14.79 Median $14.79 Typical High $28.84 | Professional | RR · Rental | $14.79 | $14.79 | $28.84 |
United Setting Professional Modifier None Typical Low $93.33 Median $147.91 Typical High $218.78 | Professional | None | $93.33 | $147.91 | $218.78 |
United Setting Professional Modifier RR · Rental Typical Low $9.12 Median $15.85 Typical High $20.89 | Professional | RR · Rental | $9.12 | $15.85 | $20.89 |
United Setting Professional Modifier UE · Used equipment Typical Low $69.18 Median $112.20 Typical High $169.82 | Professional | UE · Used equipment | $69.18 | $112.20 | $169.82 |
Univera Setting Facility Modifier None Typical Low $162.18 Median $165.96 Typical High $165.96 | Facility | None | $162.18 | $165.96 | $165.96 |
Univera Setting Professional Modifier None Typical Low $162.18 Median $165.96 Typical High $251.19 | Professional | None | $162.18 | $165.96 | $251.19 |
Univera Setting Professional Modifier RR · Rental Typical Low $16.22 Median $16.60 Typical High $21.38 | Professional | RR · Rental | $16.22 | $16.60 | $21.38 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $72.44 Median $123.03 Typical High $131.83 | Professional | UE · Used equipment | $72.44 | $123.03 | $131.83 |
8 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 BP · Chose to purchase Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | BP · Chose to purchase | $213.80 | $213.80 | $213.80 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | KH · Purchase or 1st rental month | $21.38 | $21.38 | $21.38 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | KU · Bidding program group 3 | $281.84 | $281.84 | $281.84 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | RB · Replacement part | $275.42 | $275.42 | $275.42 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | BP · Chose to purchase | $213.80 | $213.80 | $213.80 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | KH · Purchase or 1st rental month | $21.38 | $21.38 | $21.38 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | KU · Bidding program group 3 | $281.84 | $281.84 | $281.84 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | RB · Replacement part | $275.42 | $275.42 | $275.42 |
Where New York sits
The same service costs 2.6 times more in North Dakota than in Washington. 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· 21st of 51
$178
ND $302WA $117
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.