How much rates vary
Facilitymedian $794 · 10th to 90th $708 to $1,549Professionalmedian $832 · 10th to 90th $676 to $1,349
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 $478.63 Median $707.95 Typical High $1,288.25 | Facility | None | $478.63 | $707.95 | $1,288.25 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $1,288.25 | Professional | None | $707.95 | $707.95 | $1,288.25 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $524.81 Median $524.81 Typical High $977.24 | Professional | UE · Used equipment | $524.81 | $524.81 | $977.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $102.33 Median $102.33 Typical High $177.83 | Professional | RR · Rental | $102.33 | $102.33 | $177.83 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | UE · Used equipment | $758.58 | $758.58 | $758.58 |
CDPHP Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $1,479.11 | Professional | None | $112.20 | $112.20 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $794.33 Typical High $1,621.81 | Facility | None | $363.08 | $794.33 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $794.33 Typical High $812.83 | Professional | None | $676.08 | $794.33 | $812.83 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $138.04 Median $229.09 Typical High $501.19 | Facility | RR · Rental | $138.04 | $229.09 | $501.19 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $87.10 Median $104.71 Typical High $138.04 | Professional | RR · Rental | $87.10 | $104.71 | $138.04 |
Excellus BCBS Setting Professional Modifier None Typical Low $758.58 Median $776.25 Typical High $1,348.96 | Professional | None | $758.58 | $776.25 | $1,348.96 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $75.86 Median $77.62 Typical High $112.20 | Professional | RR · Rental | $75.86 | $77.62 | $112.20 |
Highmark BCBS Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $81.28 Median $81.28 Typical High $154.88 | Professional | RR · Rental | $81.28 | $81.28 | $154.88 |
United Setting Professional Modifier None Typical Low $407.38 Median $794.33 Typical High $1,096.48 | Professional | None | $407.38 | $794.33 | $1,096.48 |
United Setting Professional Modifier RR · Rental Typical Low $40.74 Median $79.43 Typical High $109.65 | Professional | RR · Rental | $40.74 | $79.43 | $109.65 |
United Setting Professional Modifier UE · Used equipment Typical Low $302.00 Median $588.84 Typical High $831.76 | Professional | UE · Used equipment | $302.00 | $588.84 | $831.76 |
Univera Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Univera Setting Professional Modifier None Typical Low $758.58 Median $776.25 Typical High $1,348.96 | Professional | None | $758.58 | $776.25 | $1,348.96 |
Univera Setting Professional Modifier RR · Rental Typical Low $75.86 Median $77.62 Typical High $112.20 | Professional | RR · Rental | $75.86 | $77.62 | $112.20 |
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | BP · Chose to purchase | $1,122.02 | $1,122.02 | $1,122.02 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | KH · Purchase or 1st rental month | $112.20 | $112.20 | $112.20 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | KU · Bidding program group 3 | $1,380.38 | $1,380.38 | $1,380.38 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | RB · Replacement part | $1,445.44 | $1,445.44 | $1,445.44 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | BP · Chose to purchase | $1,122.02 | $1,122.02 | $1,122.02 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | KH · Purchase or 1st rental month | $112.20 | $112.20 | $112.20 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | KU · Bidding program group 3 | $1,380.38 | $1,380.38 | $1,380.38 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | RB · Replacement part | $1,445.44 | $1,445.44 | $1,445.44 |
Where New York sits
The same service costs 11.5 times more in North Dakota 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· 24th of 51
$832
ND $1,549NM $135
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.