How much rates vary
Facilitymedian $813 · 10th to 90th $603 to $1,622Professionalmedian $1,000 · 10th to 90th $603 to $1,413
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 $537.03 Median $812.83 Typical High $1,348.96 | Facility | None | $537.03 | $812.83 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,348.96 | Professional | None | $812.83 | $812.83 | $1,348.96 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $616.60 Median $616.60 Typical High $1,023.29 | Professional | UE · Used equipment | $616.60 | $616.60 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,348.96 | Professional | None | $1,023.29 | $1,023.29 | $1,348.96 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $102.33 Median $102.33 Typical High $190.55 | Professional | RR · Rental | $102.33 | $102.33 | $190.55 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | UE · Used equipment | $776.25 | $776.25 | $776.25 |
CDPHP Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $1,513.56 | Professional | None | $117.49 | $117.49 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $602.56 Typical High $1,698.24 | Facility | None | $380.19 | $602.56 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $602.56 | Professional | None | $512.86 | $602.56 | $602.56 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $144.54 Median $234.42 Typical High $512.86 | Facility | RR · Rental | $144.54 | $234.42 | $512.86 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $89.13 Median $107.15 Typical High $144.54 | Professional | RR · Rental | $89.13 | $107.15 | $144.54 |
Excellus BCBS Setting Professional Modifier None Typical Low $933.25 Median $954.99 Typical High $1,412.54 | Professional | None | $933.25 | $954.99 | $1,412.54 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $93.33 Median $95.50 Typical High $117.49 | Professional | RR · Rental | $93.33 | $95.50 | $117.49 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $691.83 Median $707.95 Typical High $758.58 | Professional | UE · Used equipment | $691.83 | $707.95 | $758.58 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $85.11 Median $85.11 Typical High $162.18 | Professional | RR · Rental | $85.11 | $85.11 | $162.18 |
United Setting Professional Modifier None Typical Low $524.81 Median $851.14 Typical High $1,174.90 | Professional | None | $524.81 | $851.14 | $1,174.90 |
United Setting Professional Modifier RR · Rental Typical Low $52.48 Median $85.11 Typical High $117.49 | Professional | RR · Rental | $52.48 | $85.11 | $117.49 |
United Setting Professional Modifier UE · Used equipment Typical Low $389.05 Median $645.65 Typical High $870.96 | Professional | UE · Used equipment | $389.05 | $645.65 | $870.96 |
Univera Setting Facility Modifier None Typical Low $933.25 Median $954.99 Typical High $954.99 | Facility | None | $933.25 | $954.99 | $954.99 |
Univera Setting Professional Modifier None Typical Low $933.25 Median $954.99 Typical High $1,412.54 | Professional | None | $933.25 | $954.99 | $1,412.54 |
Univera Setting Professional Modifier RR · Rental Typical Low $93.33 Median $95.50 Typical High $117.49 | Professional | RR · Rental | $93.33 | $95.50 | $117.49 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $416.87 Median $707.95 Typical High $758.58 | Professional | UE · Used equipment | $416.87 | $707.95 | $758.58 |
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 $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | BP · Chose to purchase | $1,174.90 | $1,174.90 | $1,174.90 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | KH · Purchase or 1st rental month | $117.49 | $117.49 | $117.49 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | KU · Bidding program group 3 | $1,412.54 | $1,412.54 | $1,412.54 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | RB · Replacement part | $1,513.56 | $1,513.56 | $1,513.56 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | BP · Chose to purchase | $1,174.90 | $1,174.90 | $1,174.90 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | KH · Purchase or 1st rental month | $117.49 | $117.49 | $117.49 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | KU · Bidding program group 3 | $1,412.54 | $1,412.54 | $1,412.54 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | RB · Replacement part | $1,513.56 | $1,513.56 | $1,513.56 |
Where New York sits
The same service costs 9.5 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· 18th of 51
$1,000
ND $1,622MS $170
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.