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 $575.44 Median $851.14 Typical High $1,412.54 | Facility | None | $575.44 | $851.14 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,412.54 | Professional | None | $851.14 | $851.14 | $1,412.54 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $645.65 Median $645.65 Typical High $1,047.13 | Professional | UE · Used equipment | $645.65 | $645.65 | $1,047.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,047.13 | Professional | None | $831.76 | $831.76 | $1,047.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $83.18 Median $83.18 Typical High $194.98 | Professional | RR · Rental | $83.18 | $83.18 | $194.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | UE · Used equipment | $616.60 | $616.60 | $616.60 |
CDPHP Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $1,584.89 | Professional | None | $120.23 | $120.23 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $467.74 Typical High $1,584.89 | Facility | None | $346.74 | $467.74 | $1,584.89 |
Cigna Setting Facility Modifier RR · Rental Typical Low $42.66 Median $46.77 Typical High $190.55 | Facility | RR · Rental | $42.66 | $46.77 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $467.74 Typical High $467.74 | Professional | None | $398.11 | $467.74 | $467.74 |
Cigna Setting Professional Modifier RR · Rental Typical Low $39.81 Median $46.77 Typical High $46.77 | Professional | RR · Rental | $39.81 | $46.77 | $46.77 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $147.91 Median $245.47 Typical High $537.03 | Facility | RR · Rental | $147.91 | $245.47 | $537.03 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $91.20 Median $112.20 Typical High $154.88 | Professional | RR · Rental | $91.20 | $112.20 | $154.88 |
Excellus BCBS Setting Professional Modifier None Typical Low $831.76 Median $851.14 Typical High $891.25 | Professional | None | $831.76 | $851.14 | $891.25 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $83.18 Median $85.11 Typical High $120.23 | Professional | RR · Rental | $83.18 | $85.11 | $120.23 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $489.78 Median $512.86 Typical High $630.96 | Professional | UE · Used equipment | $489.78 | $512.86 | $630.96 |
MVP Health Care Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
United Setting Professional Modifier None Typical Low $426.58 Median $776.25 Typical High $1,071.52 | Professional | None | $426.58 | $776.25 | $1,071.52 |
United Setting Professional Modifier RR · Rental Typical Low $50.12 Median $77.62 Typical High $112.20 | Professional | RR · Rental | $50.12 | $77.62 | $112.20 |
United Setting Professional Modifier UE · Used equipment Typical Low $323.59 Median $588.84 Typical High $812.83 | Professional | UE · Used equipment | $323.59 | $588.84 | $812.83 |
Univera Setting Facility Modifier None Typical Low $616.60 Median $851.14 Typical High $851.14 | Facility | None | $616.60 | $851.14 | $851.14 |
Univera Setting Professional Modifier None Typical Low $501.19 Median $851.14 Typical High $891.25 | Professional | None | $501.19 | $851.14 | $891.25 |
Univera Setting Professional Modifier RR · Rental Typical Low $83.18 Median $85.11 Typical High $120.23 | Professional | RR · Rental | $83.18 | $85.11 | $120.23 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $281.84 Median $512.86 Typical High $630.96 | Professional | UE · Used equipment | $281.84 | $512.86 | $630.96 |
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 $120.23 Median $120.23 Typical High $120.23 | Professional | KH · Purchase or 1st rental month | $120.23 | $120.23 | $120.23 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | RB · Replacement part | $1,584.89 | $1,584.89 | $1,584.89 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | KH · Purchase or 1st rental month | $120.23 | $120.23 | $120.23 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | RB · Replacement part | $1,584.89 | $1,584.89 | $1,584.89 |
Where New York sits
The same service costs 15.8 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· 20th of 51
$832
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.