How much rates vary
Facilitymedian $166 · 10th to 90th $110 to $295Professionalmedian $129 · 10th to 90th $93 to $178
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 $95.50 Median $120.23 Typical High $169.82 | Facility | None | $95.50 | $120.23 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $169.82 | Professional | None | $95.50 | $120.23 | $169.82 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $61.66 Median $91.20 Typical High $125.89 | Professional | UE · Used equipment | $61.66 | $91.20 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $323.59 | Facility | None | $162.18 | $162.18 | $323.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $229.09 | Professional | None | $128.82 | $128.82 | $229.09 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $12.88 Median $12.88 Typical High $24.55 | Professional | RR · Rental | $12.88 | $12.88 | $24.55 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | UE · Used equipment | $97.72 | $97.72 | $97.72 |
CDPHP Setting Professional Modifier None Typical Low $17.38 Median $128.82 Typical High $229.09 | Professional | None | $17.38 | $128.82 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $109.65 Typical High $223.87 | Facility | None | $50.12 | $109.65 | $223.87 |
Cigna Setting Facility Modifier RR · Rental Typical Low $4.68 Median $10.96 Typical High $20.89 | Facility | RR · Rental | $4.68 | $10.96 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $109.65 Typical High $112.20 | Professional | None | $93.33 | $109.65 | $112.20 |
Cigna Setting Professional Modifier RR · Rental Typical Low $9.33 Median $10.96 Typical High $11.22 | Professional | RR · Rental | $9.33 | $10.96 | $11.22 |
Emblem Health Setting Facility Modifier None Typical Low $190.55 Median $245.47 Typical High $338.84 | Facility | None | $190.55 | $245.47 | $338.84 |
Emblem Health Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $165.96 | Professional | None | $104.71 | $104.71 | $165.96 |
Excellus BCBS Setting Professional Modifier None Typical Low $144.54 Median $169.82 Typical High $177.83 | Professional | None | $144.54 | $169.82 | $177.83 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $14.45 Median $16.98 Typical High $17.78 | Professional | RR · Rental | $14.45 | $16.98 | $17.78 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $123.03 Median $125.89 Typical High $134.90 | Professional | UE · Used equipment | $123.03 | $125.89 | $134.90 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $9.12 Median $9.12 Typical High $17.38 | Professional | RR · Rental | $9.12 | $9.12 | $17.38 |
United Setting Professional Modifier None Typical Low $74.13 Median $93.33 Typical High $165.96 | Professional | None | $74.13 | $93.33 | $165.96 |
United Setting Professional Modifier RR · Rental Typical Low $8.71 Median $12.88 Typical High $17.38 | Professional | RR · Rental | $8.71 | $12.88 | $17.38 |
United Setting Professional Modifier UE · Used equipment Typical Low $54.95 Median $70.79 Typical High $120.23 | Professional | UE · Used equipment | $54.95 | $70.79 | $120.23 |
Univera Setting Facility Modifier None Typical Low $165.96 Median $169.82 Typical High $173.78 | Facility | None | $165.96 | $169.82 | $173.78 |
Univera Setting Professional Modifier None Typical Low $144.54 Median $169.82 Typical High $177.83 | Professional | None | $144.54 | $169.82 | $177.83 |
Univera Setting Professional Modifier RR · Rental Typical Low $14.45 Median $16.98 Typical High $17.78 | Professional | RR · Rental | $14.45 | $16.98 | $17.78 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $123.03 Median $125.89 Typical High $134.90 | Professional | UE · Used equipment | $123.03 | $125.89 | $134.90 |
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 $144.54 Median $144.54 Typical High $144.54 | Professional | BP · Chose to purchase | $144.54 | $144.54 | $144.54 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | KH · Purchase or 1st rental month | $14.45 | $14.45 | $14.45 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $208.93 Median $251.19 Typical High $251.19 | Professional | KU · Bidding program group 3 | $208.93 | $251.19 | $251.19 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | RB · Replacement part | $190.55 | $190.55 | $190.55 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | BP · Chose to purchase | $144.54 | $144.54 | $144.54 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | KH · Purchase or 1st rental month | $14.45 | $14.45 | $14.45 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $208.93 Median $251.19 Typical High $251.19 | Professional | KU · Bidding program group 3 | $208.93 | $251.19 | $251.19 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | RB · Replacement part | $190.55 | $190.55 | $190.55 |
Where New York sits
The same service costs 3.3 times more in Kansas than in Illinois. 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· 18th of 51
$132
KS $251IL $75.86
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.