How much rates vary
Facilitymedian $257 · 10th to 90th $219 to $513Professionalmedian $324 · 10th to 90th $219 to $447
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 $169.82 Median $257.04 Typical High $426.58 | Facility | None | $169.82 | $257.04 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $426.58 | Professional | None | $257.04 | $257.04 | $426.58 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $194.98 Median $194.98 Typical High $323.59 | Professional | UE · Used equipment | $194.98 | $194.98 | $323.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $426.58 | Professional | None | $331.13 | $331.13 | $426.58 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $33.11 Median $33.11 Typical High $60.26 | Professional | RR · Rental | $33.11 | $33.11 | $60.26 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | UE · Used equipment | $245.47 | $245.47 | $245.47 |
CDPHP Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $478.63 | Professional | None | $37.15 | $37.15 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $218.78 Typical High $537.03 | Facility | None | $120.23 | $218.78 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $218.78 Typical High $218.78 | Professional | None | $186.21 | $218.78 | $218.78 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $45.71 Median $74.13 Typical High $162.18 | Facility | RR · Rental | $45.71 | $74.13 | $162.18 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $28.18 Median $33.88 Typical High $45.71 | Professional | RR · Rental | $28.18 | $33.88 | $45.71 |
Excellus BCBS Setting Professional Modifier None Typical Low $295.12 Median $302.00 Typical High $446.68 | Professional | None | $295.12 | $302.00 | $446.68 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $29.51 Median $30.20 Typical High $37.15 | Professional | RR · Rental | $29.51 | $30.20 | $37.15 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $223.87 Median $223.87 Typical High $239.88 | Professional | UE · Used equipment | $223.87 | $223.87 | $239.88 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $27.54 Median $27.54 Typical High $51.29 | Professional | RR · Rental | $27.54 | $27.54 | $51.29 |
United Setting Professional Modifier None Typical Low $169.82 Median $269.15 Typical High $363.08 | Professional | None | $169.82 | $269.15 | $363.08 |
United Setting Professional Modifier RR · Rental Typical Low $16.60 Median $27.54 Typical High $37.15 | Professional | RR · Rental | $16.60 | $27.54 | $37.15 |
United Setting Professional Modifier UE · Used equipment Typical Low $125.89 Median $199.53 Typical High $275.42 | Professional | UE · Used equipment | $125.89 | $199.53 | $275.42 |
Univera Setting Facility Modifier None Typical Low $295.12 Median $302.00 Typical High $302.00 | Facility | None | $295.12 | $302.00 | $302.00 |
Univera Setting Professional Modifier None Typical Low $295.12 Median $302.00 Typical High $446.68 | Professional | None | $295.12 | $302.00 | $446.68 |
Univera Setting Professional Modifier RR · Rental Typical Low $29.51 Median $30.20 Typical High $37.15 | Professional | RR · Rental | $29.51 | $30.20 | $37.15 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $223.87 Median $223.87 Typical High $239.88 | Professional | UE · Used equipment | $223.87 | $223.87 | $239.88 |
6 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 $37.15 Median $37.15 Typical High $37.15 | Professional | KH · Purchase or 1st rental month | $37.15 | $37.15 | $37.15 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | KU · Bidding program group 3 | $446.68 | $446.68 | $446.68 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | RB · Replacement part | $478.63 | $478.63 | $478.63 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | KH · Purchase or 1st rental month | $37.15 | $37.15 | $37.15 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | KU · Bidding program group 3 | $446.68 | $446.68 | $446.68 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | RB · Replacement part | $478.63 | $478.63 | $478.63 |
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
$324
ND $513MS $54.95
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.