How much rates vary
Facilitymedian $23 · 10th to 90th $21 to $48Professionalmedian $23 · 10th to 90th $18 to $28
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 $12.02 Median $18.20 Typical High $30.20 | Facility | None | $12.02 | $18.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $30.20 | Professional | None | $18.20 | $18.20 | $30.20 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $13.80 Median $13.80 Typical High $22.39 | Professional | UE · Used equipment | $13.80 | $13.80 | $22.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $43.65 | Professional | None | $26.92 | $26.92 | $43.65 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.69 Median $2.69 Typical High $4.17 | Professional | RR · Rental | $2.69 | $2.69 | $4.17 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | UE · Used equipment | $19.95 | $19.95 | $19.95 |
CDPHP Setting Professional Modifier None Typical Low $2.57 Median $19.50 Typical High $25.70 | Professional | None | $2.57 | $19.50 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $21.88 Typical High $41.69 | Facility | None | $9.12 | $21.88 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $21.88 Typical High $28.84 | Professional | None | $18.62 | $21.88 | $28.84 |
Emblem Health Setting Facility Modifier None Typical Low $31.62 Median $52.48 Typical High $114.82 | Facility | None | $31.62 | $52.48 | $114.82 |
Emblem Health Setting Professional Modifier None Typical Low $19.50 Median $20.42 Typical High $31.62 | Professional | None | $19.50 | $20.42 | $31.62 |
Excellus BCBS Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Excellus BCBS Setting Professional Modifier None Typical Low $20.89 Median $22.39 Typical High $25.70 | Professional | None | $20.89 | $22.39 | $25.70 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $2.09 Median $2.24 Typical High $2.57 | Professional | RR · Rental | $2.09 | $2.24 | $2.57 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $15.49 Median $15.85 Typical High $19.50 | Professional | UE · Used equipment | $15.49 | $15.85 | $19.50 |
Highmark BCBS Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
MVP Health Care Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
MVP Health Care Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $19.05 | Professional | None | $2.40 | $2.40 | $19.05 |
United Setting Professional Modifier None Typical Low $13.49 Median $19.05 Typical High $25.70 | Professional | None | $13.49 | $19.05 | $25.70 |
United Setting Professional Modifier RR · Rental Typical Low $1.35 Median $1.95 Typical High $2.57 | Professional | RR · Rental | $1.35 | $1.95 | $2.57 |
United Setting Professional Modifier UE · Used equipment Typical Low $10.23 Median $14.45 Typical High $19.50 | Professional | UE · Used equipment | $10.23 | $14.45 | $19.50 |
Univera Setting Facility Modifier None Typical Low $20.89 Median $23.44 Typical High $24.55 | Facility | None | $20.89 | $23.44 | $24.55 |
Univera Setting Professional Modifier None Typical Low $20.89 Median $23.44 Typical High $25.70 | Professional | None | $20.89 | $23.44 | $25.70 |
Univera Setting Professional Modifier RR · Rental Typical Low $2.09 Median $2.34 Typical High $2.57 | Professional | RR · Rental | $2.09 | $2.34 | $2.57 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $15.49 Median $16.98 Typical High $19.50 | Professional | UE · Used equipment | $15.49 | $16.98 | $19.50 |
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 $2.57 Median $2.57 Typical High $2.57 | Professional | KH · Purchase or 1st rental month | $2.57 | $2.57 | $2.57 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | KU · Bidding program group 3 | $25.70 | $25.70 | $25.70 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | KH · Purchase or 1st rental month | $2.57 | $2.57 | $2.57 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | KU · Bidding program group 3 | $25.70 | $25.70 | $25.70 |
Where New York sits
The same service costs 2.6 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· 28th of 51
$23.44
HI $39.81NM $15.49
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.