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 $549.54 Median $794.33 Typical High $1,318.26 | Facility | None | $549.54 | $794.33 | $1,318.26 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,318.26 | Professional | None | $794.33 | $794.33 | $1,318.26 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $602.56 Median $602.56 Typical High $977.24 | Professional | UE · Used equipment | $602.56 | $602.56 | $977.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $977.24 | Professional | None | $691.83 | $691.83 | $977.24 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $69.18 Median $69.18 Typical High $181.97 | Professional | RR · Rental | $69.18 | $69.18 | $181.97 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | UE · Used equipment | $524.81 | $524.81 | $524.81 |
CDPHP Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $1,479.11 | Professional | None | $112.20 | $112.20 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $1,000.00 Typical High $1,479.11 | Facility | None | $331.13 | $1,000.00 | $1,479.11 |
Cigna Setting Facility Modifier RR · Rental Typical Low $38.02 Median $100.00 Typical High $169.82 | Facility | RR · Rental | $38.02 | $100.00 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $851.14 Median $1,000.00 Typical High $1,000.00 | Professional | None | $851.14 | $1,000.00 | $1,000.00 |
Cigna Setting Professional Modifier RR · Rental Typical Low $85.11 Median $100.00 Typical High $100.00 | Professional | RR · Rental | $85.11 | $100.00 | $100.00 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $138.04 Median $229.09 Typical High $501.19 | Facility | RR · Rental | $138.04 | $229.09 | $501.19 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $87.10 Median $104.71 Typical High $147.91 | Professional | RR · Rental | $87.10 | $104.71 | $147.91 |
Excellus BCBS Setting Professional Modifier None Typical Low $776.25 Median $794.33 Typical High $851.14 | Professional | None | $776.25 | $794.33 | $851.14 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $77.62 Median $79.43 Typical High $112.20 | Professional | RR · Rental | $77.62 | $79.43 | $112.20 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $457.09 Median $489.78 Typical High $602.56 | Professional | UE · Used equipment | $457.09 | $489.78 | $602.56 |
MVP Health Care Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
United Setting Professional Modifier None Typical Low $407.38 Median $741.31 Typical High $1,023.29 | Professional | None | $407.38 | $741.31 | $1,023.29 |
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 $758.58 | Professional | UE · Used equipment | $302.00 | $549.54 | $758.58 |
Univera Setting Facility Modifier None Typical Low $776.25 Median $794.33 Typical High $851.14 | Facility | None | $776.25 | $794.33 | $851.14 |
Univera Setting Professional Modifier None Typical Low $467.74 Median $794.33 Typical High $851.14 | Professional | None | $467.74 | $794.33 | $851.14 |
Univera Setting Professional Modifier RR · Rental Typical Low $77.62 Median $79.43 Typical High $112.20 | Professional | RR · Rental | $77.62 | $79.43 | $112.20 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $263.03 Median $489.78 Typical High $602.56 | Professional | UE · Used equipment | $263.03 | $489.78 | $602.56 |
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 $112.20 Median $112.20 Typical High $112.20 | Professional | KH · Purchase or 1st rental month | $112.20 | $112.20 | $112.20 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | RB · Replacement part | $1,479.11 | $1,479.11 | $1,479.11 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | KH · Purchase or 1st rental month | $112.20 | $112.20 | $112.20 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | RB · Replacement part | $1,479.11 | $1,479.11 | $1,479.11 |
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· 26th of 51
$794
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.