How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $2,344.23 Median $2,344.23 Typical High $3,890.45 | Facility | None | $2,344.23 | $2,344.23 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $3,890.45 | Professional | None | $2,344.23 | $2,344.23 | $3,890.45 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,778.28 Median $1,778.28 Typical High $2,884.03 | Professional | UE · Used equipment | $1,778.28 | $1,778.28 | $2,884.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,951.21 | Professional | None | $2,754.23 | $2,754.23 | $2,951.21 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $275.42 Median $426.58 Typical High $707.95 | Professional | RR · Rental | $275.42 | $426.58 | $707.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | UE · Used equipment | $2,041.74 | $2,041.74 | $2,041.74 |
CDPHP Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $4,365.16 | Professional | None | $338.84 | $338.84 | $4,365.16 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Cigna Setting Facility Modifier RR · Rental Typical Low $114.82 Median $257.04 Typical High $524.81 | Facility | RR · Rental | $114.82 | $257.04 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $2,187.76 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,187.76 | $2,570.40 | $2,570.40 |
Cigna Setting Professional Modifier RR · Rental Typical Low $218.78 Median $257.04 Typical High $257.04 | Professional | RR · Rental | $218.78 | $257.04 | $257.04 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $407.38 Median $676.08 Typical High $1,479.11 | Facility | RR · Rental | $407.38 | $676.08 | $1,479.11 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $257.04 Median $309.03 Typical High $407.38 | Professional | RR · Rental | $257.04 | $309.03 | $407.38 |
Excellus BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $2,511.89 Typical High $3,981.07 | Professional | None | $2,454.71 | $2,511.89 | $3,981.07 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $245.47 Median $251.19 Typical High $338.84 | Professional | RR · Rental | $245.47 | $251.19 | $338.84 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $251.19 Median $251.19 Typical High $467.74 | Professional | RR · Rental | $251.19 | $251.19 | $467.74 |
United Setting Professional Modifier None Typical Low $138.04 Median $331.13 Typical High $2,691.53 | Professional | None | $138.04 | $331.13 | $2,691.53 |
United Setting Professional Modifier RR · Rental Typical Low $177.83 Median $269.15 Typical High $269.15 | Professional | RR · Rental | $177.83 | $269.15 | $269.15 |
Univera Setting Facility Modifier None Typical Low $2,454.71 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,454.71 | $2,511.89 | $2,511.89 |
Univera Setting Professional Modifier None Typical Low $2,454.71 Median $2,511.89 Typical High $3,981.07 | Professional | None | $2,454.71 | $2,511.89 | $3,981.07 |
Univera Setting Professional Modifier RR · Rental Typical Low $245.47 Median $251.19 Typical High $338.84 | Professional | RR · Rental | $245.47 | $251.19 | $338.84 |
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 $338.84 Median $338.84 Typical High $338.84 | Professional | KH · Purchase or 1st rental month | $338.84 | $338.84 | $338.84 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Professional | RB · Replacement part | $4,365.16 | $4,365.16 | $4,365.16 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | KH · Purchase or 1st rental month | $338.84 | $338.84 | $338.84 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Professional | RB · Replacement part | $4,365.16 | $4,365.16 | $4,365.16 |
Where New York sits
The same service costs 26.3 times more in Kansas than in Hawaii. 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· 18th of 51
$2,692
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.