How much rates vary
Facilitymedian $5,129 · 10th to 90th $4,467 to $8,913Professionalmedian $5,623 · 10th to 90th $4,169 to $7,762
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 $2,951.21 Median $4,466.84 Typical High $7,413.10 | Facility | None | $2,951.21 | $4,466.84 | $7,413.10 |
Aetna Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $7,413.10 | Professional | None | $4,466.84 | $4,466.84 | $7,413.10 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $3,388.44 Median $3,388.44 Typical High $5,623.41 | Professional | UE · Used equipment | $3,388.44 | $3,388.44 | $5,623.41 |
Anthem BCBS Setting Professional Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $7,413.10 | Professional | None | $5,754.40 | $5,754.40 | $7,413.10 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $575.44 Median $575.44 Typical High $1,047.13 | Professional | RR · Rental | $575.44 | $575.44 | $1,047.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | UE · Used equipment | $4,265.80 | $4,265.80 | $4,265.80 |
CDPHP Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $8,317.64 | Professional | None | $645.65 | $645.65 | $8,317.64 |
Cigna Setting Facility Modifier None Typical Low $2,089.30 Median $4,786.30 Typical High $9,332.54 | Facility | None | $2,089.30 | $4,786.30 | $9,332.54 |
Cigna Setting Facility Modifier RR · Rental Typical Low $213.80 Median $478.63 Typical High $977.24 | Facility | RR · Rental | $213.80 | $478.63 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $4,073.80 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,073.80 | $4,786.30 | $4,786.30 |
Cigna Setting Professional Modifier RR · Rental Typical Low $407.38 Median $478.63 Typical High $478.63 | Professional | RR · Rental | $407.38 | $478.63 | $478.63 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $794.33 Median $1,318.26 Typical High $2,884.03 | Facility | RR · Rental | $794.33 | $1,318.26 | $2,884.03 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $489.78 Median $588.84 Typical High $794.33 | Professional | RR · Rental | $489.78 | $588.84 | $794.33 |
Excellus BCBS Setting Professional Modifier None Typical Low $5,128.61 Median $5,248.07 Typical High $7,762.47 | Professional | None | $5,128.61 | $5,248.07 | $7,762.47 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $512.86 Median $524.81 Typical High $645.65 | Professional | RR · Rental | $512.86 | $524.81 | $645.65 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $3,890.45 Median $3,981.07 Typical High $4,168.69 | Professional | UE · Used equipment | $3,890.45 | $3,981.07 | $4,168.69 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $467.74 Median $467.74 Typical High $891.25 | Professional | RR · Rental | $467.74 | $467.74 | $891.25 |
United Setting Professional Modifier None Typical Low $2,884.03 Median $4,786.30 Typical High $6,456.54 | Professional | None | $2,884.03 | $4,786.30 | $6,456.54 |
United Setting Professional Modifier RR · Rental Typical Low $288.40 Median $467.74 Typical High $645.65 | Professional | RR · Rental | $288.40 | $467.74 | $645.65 |
United Setting Professional Modifier UE · Used equipment Typical Low $2,137.96 Median $3,548.13 Typical High $4,786.30 | Professional | UE · Used equipment | $2,137.96 | $3,548.13 | $4,786.30 |
Univera Setting Facility Modifier None Typical Low $5,128.61 Median $5,248.07 Typical High $5,248.07 | Facility | None | $5,128.61 | $5,248.07 | $5,248.07 |
Univera Setting Professional Modifier None Typical Low $5,128.61 Median $5,248.07 Typical High $7,762.47 | Professional | None | $5,128.61 | $5,248.07 | $7,762.47 |
Univera Setting Professional Modifier RR · Rental Typical Low $512.86 Median $524.81 Typical High $645.65 | Professional | RR · Rental | $512.86 | $524.81 | $645.65 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $3,890.45 Median $3,981.07 Typical High $4,168.69 | Professional | UE · Used equipment | $3,890.45 | $3,981.07 | $4,168.69 |
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 $6,456.54 Median $6,456.54 Typical High $6,456.54 | Professional | BP · Chose to purchase | $6,456.54 | $6,456.54 | $6,456.54 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | KH · Purchase or 1st rental month | $645.65 | $645.65 | $645.65 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Professional | KU · Bidding program group 3 | $7,762.47 | $7,762.47 | $7,762.47 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Professional | RB · Replacement part | $8,317.64 | $8,317.64 | $8,317.64 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Professional | BP · Chose to purchase | $6,456.54 | $6,456.54 | $6,456.54 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | KH · Purchase or 1st rental month | $645.65 | $645.65 | $645.65 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Professional | KU · Bidding program group 3 | $7,762.47 | $7,762.47 | $7,762.47 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Professional | RB · Replacement part | $8,317.64 | $8,317.64 | $8,317.64 |
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
$5,623
ND $8,913MS $955
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.