How much rates vary
Facilitymedian $107 · 10th to 90th $58 to $132Professionalmedian $78 · 10th to 90th $58 to $107
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 $45.71 Median $66.07 Typical High $89.13 | Facility | None | $45.71 | $66.07 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $66.07 Typical High $89.13 | Professional | None | $46.77 | $66.07 | $89.13 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $36.31 Median $51.29 Typical High $67.61 | Professional | UE · Used equipment | $36.31 | $51.29 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $141.25 | Professional | None | $69.18 | $69.18 | $141.25 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.92 Median $6.92 Typical High $13.49 | Professional | RR · Rental | $6.92 | $6.92 | $13.49 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | UE · Used equipment | $51.29 | $51.29 | $51.29 |
CDPHP Setting Professional Modifier None Typical Low $10.00 Median $74.13 Typical High $95.50 | Professional | None | $10.00 | $74.13 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $57.54 Typical High $128.82 | Facility | None | $28.18 | $57.54 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $77.62 | Professional | None | $48.98 | $57.54 | $77.62 |
Emblem Health Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $288.40 | Facility | None | $79.43 | $131.83 | $288.40 |
Emblem Health Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $79.43 | Professional | None | $52.48 | $52.48 | $79.43 |
Excellus BCBS Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Excellus BCBS Setting Facility Modifier RR · Rental Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | RR · Rental | $10.72 | $10.72 | $10.72 |
Excellus BCBS Setting Professional Modifier None Typical Low $77.62 Median $95.50 Typical High $107.15 | Professional | None | $77.62 | $95.50 | $107.15 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $7.76 Median $10.00 Typical High $10.72 | Professional | RR · Rental | $7.76 | $10.00 | $10.72 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $58.88 Median $74.13 Typical High $79.43 | Professional | UE · Used equipment | $58.88 | $74.13 | $79.43 |
Fidelis Setting Professional Modifier RR · Rental Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | RR · Rental | $7.94 | $7.94 | $7.94 |
Highmark BCBS Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
MVP Health Care Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $229.09 | Facility | None | $22.91 | $22.91 | $229.09 |
MVP Health Care Setting Professional Modifier None Typical Low $11.22 Median $46.77 Typical High $75.86 | Professional | None | $11.22 | $46.77 | $75.86 |
United Setting Professional Modifier None Typical Low $45.71 Median $64.57 Typical High $95.50 | Professional | None | $45.71 | $64.57 | $95.50 |
United Setting Professional Modifier RR · Rental Typical Low $4.68 Median $6.92 Typical High $9.77 | Professional | RR · Rental | $4.68 | $6.92 | $9.77 |
United Setting Professional Modifier UE · Used equipment Typical Low $35.48 Median $48.98 Typical High $74.13 | Professional | UE · Used equipment | $35.48 | $48.98 | $74.13 |
Univera Setting Facility Modifier None Typical Low $95.50 Median $107.15 Typical High $112.20 | Facility | None | $95.50 | $107.15 | $112.20 |
Univera Setting Facility Modifier RR · Rental Typical Low $10.00 Median $10.72 Typical High $12.30 | Facility | RR · Rental | $10.00 | $10.72 | $12.30 |
Univera Setting Professional Modifier None Typical Low $77.62 Median $102.33 Typical High $107.15 | Professional | None | $77.62 | $102.33 | $107.15 |
Univera Setting Professional Modifier RR · Rental Typical Low $7.76 Median $10.72 Typical High $10.72 | Professional | RR · Rental | $7.76 | $10.72 | $10.72 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $58.88 Median $74.13 Typical High $79.43 | Professional | UE · Used equipment | $58.88 | $74.13 | $79.43 |
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 $7.76 Median $7.76 Typical High $7.76 | Professional | KH · Purchase or 1st rental month | $7.76 | $7.76 | $7.76 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | KU · Bidding program group 3 | $117.49 | $117.49 | $117.49 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | KH · Purchase or 1st rental month | $7.76 | $7.76 | $7.76 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | KU · Bidding program group 3 | $117.49 | $117.49 | $117.49 |
Where New York sits
The same service costs 3.7 times more in Hawaii 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· 6th of 51
$89.13
HI $166NM $44.67
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.