How much rates vary
Facilitymedian $3,548 · 10th to 90th $3,311 to $6,607Professionalmedian $4,266 · 10th to 90th $3,090 to $5,754
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 $2,238.72 Median $3,388.44 Typical High $5,495.41 | Facility | None | $2,238.72 | $3,388.44 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $5,495.41 | Professional | None | $3,388.44 | $3,388.44 | $5,495.41 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $2,511.89 Median $2,511.89 Typical High $4,168.69 | Professional | UE · Used equipment | $2,511.89 | $2,511.89 | $4,168.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $5,623.41 | Professional | None | $4,365.16 | $4,365.16 | $5,623.41 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $436.52 Median $436.52 Typical High $758.58 | Professional | RR · Rental | $436.52 | $436.52 | $758.58 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | UE · Used equipment | $3,235.94 | $3,235.94 | $3,235.94 |
CDPHP Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $6,309.57 | Professional | None | $478.63 | $478.63 | $6,309.57 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $3,311.31 Typical High $6,918.31 | Facility | None | $1,548.82 | $3,311.31 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $2,818.38 Median $3,311.31 Typical High $3,311.31 | Professional | None | $2,818.38 | $3,311.31 | $3,311.31 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $602.56 Median $977.24 Typical High $2,137.96 | Facility | RR · Rental | $602.56 | $977.24 | $2,137.96 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $371.54 Median $446.68 Typical High $602.56 | Professional | RR · Rental | $371.54 | $446.68 | $602.56 |
Excellus BCBS Setting Professional Modifier None Typical Low $3,890.45 Median $3,981.07 Typical High $5,754.40 | Professional | None | $3,890.45 | $3,981.07 | $5,754.40 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $389.05 Median $398.11 Typical High $478.63 | Professional | RR · Rental | $389.05 | $398.11 | $478.63 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,951.21 Median $2,951.21 Typical High $3,162.28 | Professional | UE · Used equipment | $2,951.21 | $2,951.21 | $3,162.28 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $346.74 Median $346.74 Typical High $660.69 | Professional | RR · Rental | $346.74 | $346.74 | $660.69 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $3,548.13 Typical High $4,786.30 | Professional | None | $2,187.76 | $3,548.13 | $4,786.30 |
United Setting Professional Modifier RR · Rental Typical Low $218.78 Median $354.81 Typical High $478.63 | Professional | RR · Rental | $218.78 | $354.81 | $478.63 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,621.81 Median $2,691.53 Typical High $3,548.13 | Professional | UE · Used equipment | $1,621.81 | $2,691.53 | $3,548.13 |
Univera Setting Facility Modifier None Typical Low $3,890.45 Median $3,981.07 Typical High $3,981.07 | Facility | None | $3,890.45 | $3,981.07 | $3,981.07 |
Univera Setting Professional Modifier None Typical Low $3,890.45 Median $3,981.07 Typical High $5,754.40 | Professional | None | $3,890.45 | $3,981.07 | $5,754.40 |
Univera Setting Professional Modifier RR · Rental Typical Low $389.05 Median $398.11 Typical High $478.63 | Professional | RR · Rental | $389.05 | $398.11 | $478.63 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $2,951.21 Median $2,951.21 Typical High $3,162.28 | Professional | UE · Used equipment | $2,951.21 | $2,951.21 | $3,162.28 |
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 $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | BP · Chose to purchase | $4,786.30 | $4,786.30 | $4,786.30 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | KH · Purchase or 1st rental month | $478.63 | $478.63 | $478.63 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Professional | KU · Bidding program group 3 | $5,888.44 | $5,888.44 | $5,888.44 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Professional | RB · Replacement part | $6,165.95 | $6,165.95 | $6,165.95 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | BP · Chose to purchase | $4,786.30 | $4,786.30 | $4,786.30 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | KH · Purchase or 1st rental month | $478.63 | $478.63 | $478.63 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Professional | KU · Bidding program group 3 | $5,888.44 | $5,888.44 | $5,888.44 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Professional | RB · Replacement part | $6,165.95 | $6,165.95 | $6,165.95 |
Where New York sits
The same service costs 9.3 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· 16th of 51
$4,266
ND $6,761MS $724
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.