How much rates vary
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 $269.15 Median $331.13 Typical High $501.19 | Facility | None | $269.15 | $331.13 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $331.13 Typical High $501.19 | Professional | None | $208.93 | $331.13 | $501.19 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $125.89 Median $251.19 Typical High $371.54 | Professional | UE · Used equipment | $125.89 | $251.19 | $371.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $389.05 | Professional | None | $346.74 | $346.74 | $389.05 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $34.67 Median $34.67 Typical High $69.18 | Professional | RR · Rental | $34.67 | $34.67 | $69.18 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | UE · Used equipment | $263.03 | $263.03 | $263.03 |
CDPHP Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $616.60 | Professional | None | $47.86 | $47.86 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $380.19 Typical High $457.09 | Facility | None | $100.00 | $380.19 | $457.09 |
Cigna Setting Facility Modifier RR · Rental Typical Low $14.45 Median $38.02 Typical High $64.57 | Facility | RR · Rental | $14.45 | $38.02 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $380.19 Typical High $380.19 | Professional | None | $323.59 | $380.19 | $380.19 |
Cigna Setting Professional Modifier RR · Rental Typical Low $32.36 Median $38.02 Typical High $44.67 | Professional | RR · Rental | $32.36 | $38.02 | $44.67 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $51.29 Median $83.18 Typical High $186.21 | Facility | RR · Rental | $51.29 | $83.18 | $186.21 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $31.62 Median $38.02 Typical High $50.12 | Professional | RR · Rental | $31.62 | $38.02 | $50.12 |
Excellus BCBS Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $371.54 | Professional | None | $346.74 | $346.74 | $371.54 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $34.67 Median $34.67 Typical High $42.66 | Professional | RR · Rental | $34.67 | $34.67 | $42.66 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $223.87 Median $239.88 Typical High $263.03 | Professional | UE · Used equipment | $223.87 | $239.88 | $263.03 |
MVP Health Care Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $426.58 | Professional | None | $39.81 | $39.81 | $426.58 |
United Setting Professional Modifier None Typical Low $199.53 Median $257.04 Typical High $407.38 | Professional | None | $199.53 | $257.04 | $407.38 |
United Setting Professional Modifier RR · Rental Typical Low $22.39 Median $32.36 Typical High $42.66 | Professional | RR · Rental | $22.39 | $32.36 | $42.66 |
United Setting Professional Modifier UE · Used equipment Typical Low $147.91 Median $194.98 Typical High $302.00 | Professional | UE · Used equipment | $147.91 | $194.98 | $302.00 |
Univera Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $407.38 | Facility | None | $346.74 | $346.74 | $407.38 |
Univera Setting Professional Modifier None Typical Low $204.17 Median $346.74 Typical High $371.54 | Professional | None | $204.17 | $346.74 | $371.54 |
Univera Setting Professional Modifier RR · Rental Typical Low $34.67 Median $34.67 Typical High $42.66 | Professional | RR · Rental | $34.67 | $34.67 | $42.66 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $128.82 Median $239.88 Typical High $263.03 | Professional | UE · Used equipment | $128.82 | $239.88 | $263.03 |
4 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 $42.66 Median $42.66 Typical High $42.66 | Professional | KH · Purchase or 1st rental month | $42.66 | $42.66 | $42.66 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | RB · Replacement part | $562.34 | $562.34 | $562.34 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | KH · Purchase or 1st rental month | $42.66 | $42.66 | $42.66 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | RB · Replacement part | $562.34 | $562.34 | $562.34 |
Where New York sits
The same service costs 17.8 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· 22nd of 51
$347
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.