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 $537.03 Median $831.76 Typical High $1,380.38 | Facility | None | $537.03 | $831.76 | $1,380.38 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,380.38 | Professional | None | $831.76 | $831.76 | $1,380.38 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $630.96 Median $630.96 Typical High $1,023.29 | Professional | UE · Used equipment | $630.96 | $630.96 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $954.99 | Professional | None | $776.25 | $776.25 | $954.99 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $77.62 Median $77.62 Typical High $190.55 | Professional | RR · Rental | $77.62 | $77.62 | $190.55 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | UE · Used equipment | $575.44 | $575.44 | $575.44 |
CDPHP Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $1,548.82 | Professional | None | $117.49 | $117.49 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $446.68 Typical High $1,479.11 | Facility | None | $323.59 | $446.68 | $1,479.11 |
Cigna Setting Facility Modifier RR · Rental Typical Low $38.02 Median $44.67 Typical High $173.78 | Facility | RR · Rental | $38.02 | $44.67 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $446.68 Typical High $446.68 | Professional | None | $380.19 | $446.68 | $446.68 |
Cigna Setting Professional Modifier RR · Rental Typical Low $38.02 Median $44.67 Typical High $44.67 | Professional | RR · Rental | $38.02 | $44.67 | $44.67 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $144.54 Median $239.88 Typical High $524.81 | Facility | RR · Rental | $144.54 | $239.88 | $524.81 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $89.13 Median $109.65 Typical High $144.54 | Professional | RR · Rental | $89.13 | $109.65 | $144.54 |
Excellus BCBS Setting Professional Modifier None Typical Low $812.83 Median $831.76 Typical High $870.96 | Professional | None | $812.83 | $831.76 | $870.96 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $81.28 Median $83.18 Typical High $117.49 | Professional | RR · Rental | $81.28 | $83.18 | $117.49 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $446.68 Median $478.63 Typical High $616.60 | Professional | UE · Used equipment | $446.68 | $478.63 | $616.60 |
MVP Health Care Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
United Setting Professional Modifier None Typical Low $398.11 Median $724.44 Typical High $1,000.00 | Professional | None | $398.11 | $724.44 | $1,000.00 |
United Setting Professional Modifier RR · Rental Typical Low $46.77 Median $74.13 Typical High $107.15 | Professional | RR · Rental | $46.77 | $74.13 | $107.15 |
United Setting Professional Modifier UE · Used equipment Typical Low $302.00 Median $549.54 Typical High $741.31 | Professional | UE · Used equipment | $302.00 | $549.54 | $741.31 |
Univera Setting Facility Modifier None Typical Low $575.44 Median $831.76 Typical High $831.76 | Facility | None | $575.44 | $831.76 | $831.76 |
Univera Setting Professional Modifier None Typical Low $489.78 Median $831.76 Typical High $870.96 | Professional | None | $489.78 | $831.76 | $870.96 |
Univera Setting Professional Modifier RR · Rental Typical Low $81.28 Median $83.18 Typical High $117.49 | Professional | RR · Rental | $81.28 | $83.18 | $117.49 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $257.04 Median $478.63 Typical High $616.60 | Professional | UE · Used equipment | $257.04 | $478.63 | $616.60 |
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 $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 RB · Replacement part Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | RB · Replacement part | $1,548.82 | $1,548.82 | $1,548.82 |
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 RB · Replacement part Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | RB · Replacement part | $1,548.82 | $1,548.82 | $1,548.82 |
Where New York sits
The same service costs 16.2 times more in Kansas 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· 22nd of 51
$776
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.