How much rates vary
Facilitymedian $2,291 · 10th to 90th $1,445 to $2,754Professionalmedian $2,188 · 10th to 90th $1,514 to $2,455
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 $1,258.93 Median $1,949.84 Typical High $3,162.28 | Facility | None | $1,258.93 | $1,949.84 | $3,162.28 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $3,162.28 | Professional | None | $1,949.84 | $1,949.84 | $3,162.28 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $933.25 Median $1,445.44 Typical High $2,398.83 | Professional | UE · Used equipment | $933.25 | $1,445.44 | $2,398.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,162.28 | Professional | None | $2,454.71 | $2,454.71 | $3,162.28 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $245.47 Median $245.47 Typical High $436.52 | Professional | RR · Rental | $245.47 | $245.47 | $436.52 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | UE · Used equipment | $1,819.70 | $1,819.70 | $1,819.70 |
CDPHP Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $3,548.13 | Professional | None | $275.42 | $275.42 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,445.44 Typical High $3,388.44 | Facility | None | $758.58 | $1,445.44 | $3,388.44 |
Cigna Setting Facility Modifier RR · Rental Typical Low $91.20 Median $144.54 Typical High $416.87 | Facility | RR · Rental | $91.20 | $144.54 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,445.44 Typical High $1,479.11 | Professional | None | $1,230.27 | $1,445.44 | $1,479.11 |
Cigna Setting Professional Modifier RR · Rental Typical Low $123.03 Median $144.54 Typical High $144.54 | Professional | RR · Rental | $123.03 | $144.54 | $144.54 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $338.84 Median $562.34 Typical High $1,230.27 | Facility | RR · Rental | $338.84 | $562.34 | $1,230.27 |
Emblem Health Setting Professional Modifier None Typical Low $1,862.09 Median $2,238.72 Typical High $2,290.87 | Professional | None | $1,862.09 | $2,238.72 | $2,290.87 |
Excellus BCBS Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,949.84 Median $2,041.74 Typical High $2,290.87 | Professional | None | $1,949.84 | $2,041.74 | $2,290.87 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $194.98 Median $204.17 Typical High $275.42 | Professional | RR · Rental | $194.98 | $204.17 | $275.42 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,412.54 Median $1,445.44 Typical High $1,548.82 | Professional | UE · Used equipment | $1,412.54 | $1,445.44 | $1,548.82 |
Highmark BCBS Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
MVP Health Care Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $204.17 Median $204.17 Typical High $380.19 | Professional | RR · Rental | $204.17 | $204.17 | $380.19 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,698.24 Typical High $2,344.23 | Professional | None | $1,071.52 | $1,698.24 | $2,344.23 |
United Setting Professional Modifier RR · Rental Typical Low $107.15 Median $177.83 Typical High $251.19 | Professional | RR · Rental | $107.15 | $177.83 | $251.19 |
United Setting Professional Modifier UE · Used equipment Typical Low $812.83 Median $1,258.93 Typical High $1,737.80 | Professional | UE · Used equipment | $812.83 | $1,258.93 | $1,737.80 |
Univera Setting Facility Modifier None Typical Low $1,949.84 Median $2,290.87 Typical High $2,290.87 | Facility | None | $1,949.84 | $2,290.87 | $2,290.87 |
Univera Setting Professional Modifier None Typical Low $1,949.84 Median $2,041.74 Typical High $2,290.87 | Professional | None | $1,949.84 | $2,041.74 | $2,290.87 |
Univera Setting Professional Modifier RR · Rental Typical Low $194.98 Median $229.09 Typical High $275.42 | Professional | RR · Rental | $194.98 | $229.09 | $275.42 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $1,412.54 Median $1,445.44 Typical High $2,290.87 | Professional | UE · Used equipment | $1,412.54 | $1,445.44 | $2,290.87 |
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 $275.42 Median $275.42 Typical High $275.42 | Professional | KH · Purchase or 1st rental month | $275.42 | $275.42 | $275.42 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | RB · Replacement part | $3,548.13 | $3,548.13 | $3,548.13 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | KH · Purchase or 1st rental month | $275.42 | $275.42 | $275.42 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | RB · Replacement part | $3,548.13 | $3,548.13 | $3,548.13 |
Where New York sits
The same service costs 11.0 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
$2,291
ND $3,802MS $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.