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 $467.74 Median $812.83 Typical High $1,318.26 | Facility | None | $467.74 | $812.83 | $1,318.26 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,318.26 | Professional | None | $812.83 | $812.83 | $1,318.26 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $602.56 Median $602.56 Typical High $1,000.00 | Professional | UE · Used equipment | $602.56 | $602.56 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $912.01 | Professional | None | $741.31 | $741.31 | $912.01 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $74.13 Median $74.13 Typical High $186.21 | Professional | RR · Rental | $74.13 | $74.13 | $186.21 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | UE · Used equipment | $562.34 | $562.34 | $562.34 |
CDPHP Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $1,479.11 | Professional | None | $114.82 | $114.82 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $831.76 Typical High $1,412.54 | Facility | None | $316.23 | $831.76 | $1,412.54 |
Cigna Setting Facility Modifier RR · Rental Typical Low $36.31 Median $83.18 Typical High $162.18 | Facility | RR · Rental | $36.31 | $83.18 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $831.76 Typical High $831.76 | Professional | None | $707.95 | $831.76 | $831.76 |
Cigna Setting Professional Modifier RR · Rental Typical Low $70.79 Median $83.18 Typical High $83.18 | Professional | RR · Rental | $70.79 | $83.18 | $83.18 |
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 $138.04 | Professional | RR · Rental | $87.10 | $104.71 | $138.04 |
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 $114.82 | Professional | RR · Rental | $77.62 | $79.43 | $114.82 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $436.52 Median $457.09 Typical High $602.56 | Professional | UE · Used equipment | $436.52 | $457.09 | $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 $380.19 Median $691.83 Typical High $954.99 | Professional | None | $380.19 | $691.83 | $954.99 |
United Setting Professional Modifier RR · Rental Typical Low $44.67 Median $70.79 Typical High $102.33 | Professional | RR · Rental | $44.67 | $70.79 | $102.33 |
United Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $524.81 Typical High $724.44 | Professional | UE · Used equipment | $288.40 | $524.81 | $724.44 |
Univera Setting Facility Modifier None Typical Low $549.54 Median $794.33 Typical High $794.33 | Facility | None | $549.54 | $794.33 | $794.33 |
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 $114.82 | Professional | RR · Rental | $77.62 | $79.43 | $114.82 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $251.19 Median $457.09 Typical High $602.56 | Professional | UE · Used equipment | $251.19 | $457.09 | $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 $114.82 Median $114.82 Typical High $114.82 | Professional | KH · Purchase or 1st rental month | $114.82 | $114.82 | $114.82 |
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 $114.82 Median $114.82 Typical High $114.82 | Professional | KH · Purchase or 1st rental month | $114.82 | $114.82 | $114.82 |
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 11.2 times more in Minnesota 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
$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.