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 $223.87 Median $389.05 Typical High $645.65 | Facility | None | $223.87 | $389.05 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $645.65 | Professional | None | $389.05 | $389.05 | $645.65 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $295.12 Typical High $478.63 | Professional | UE · Used equipment | $295.12 | $295.12 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $446.68 | Professional | None | $363.08 | $363.08 | $446.68 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $36.31 Median $36.31 Typical High $89.13 | Professional | RR · Rental | $36.31 | $36.31 | $89.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | UE · Used equipment | $269.15 | $269.15 | $269.15 |
CDPHP Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $724.44 | Professional | None | $54.95 | $54.95 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $407.38 Typical High $676.08 | Facility | None | $151.36 | $407.38 | $676.08 |
Cigna Setting Facility Modifier RR · Rental Typical Low $17.38 Median $40.74 Typical High $77.62 | Facility | RR · Rental | $17.38 | $40.74 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $407.38 Typical High $407.38 | Professional | None | $346.74 | $407.38 | $407.38 |
Cigna Setting Professional Modifier RR · Rental Typical Low $34.67 Median $40.74 Typical High $40.74 | Professional | RR · Rental | $34.67 | $40.74 | $40.74 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $67.61 Median $112.20 Typical High $245.47 | Facility | RR · Rental | $67.61 | $112.20 | $245.47 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $41.69 Median $51.29 Typical High $61.66 | Professional | RR · Rental | $41.69 | $51.29 | $61.66 |
Excellus BCBS Setting Professional Modifier None Typical Low $380.19 Median $389.05 Typical High $407.38 | Professional | None | $380.19 | $389.05 | $407.38 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $38.02 Median $38.90 Typical High $54.95 | Professional | RR · Rental | $38.02 | $38.90 | $54.95 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $208.93 Median $223.87 Typical High $288.40 | Professional | UE · Used equipment | $208.93 | $223.87 | $288.40 |
MVP Health Care Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
United Setting Professional Modifier None Typical Low $186.21 Median $338.84 Typical High $467.74 | Professional | None | $186.21 | $338.84 | $467.74 |
United Setting Professional Modifier RR · Rental Typical Low $21.88 Median $34.67 Typical High $50.12 | Professional | RR · Rental | $21.88 | $34.67 | $50.12 |
United Setting Professional Modifier UE · Used equipment Typical Low $141.25 Median $257.04 Typical High $346.74 | Professional | UE · Used equipment | $141.25 | $257.04 | $346.74 |
Univera Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $389.05 | Facility | None | $269.15 | $389.05 | $389.05 |
Univera Setting Professional Modifier None Typical Low $229.09 Median $389.05 Typical High $407.38 | Professional | None | $229.09 | $389.05 | $407.38 |
Univera Setting Professional Modifier RR · Rental Typical Low $38.02 Median $38.90 Typical High $54.95 | Professional | RR · Rental | $38.02 | $38.90 | $54.95 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $120.23 Median $223.87 Typical High $288.40 | Professional | UE · Used equipment | $120.23 | $223.87 | $288.40 |
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 $54.95 Median $54.95 Typical High $54.95 | Professional | KH · Purchase or 1st rental month | $54.95 | $54.95 | $54.95 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | RB · Replacement part | $724.44 | $724.44 | $724.44 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | KH · Purchase or 1st rental month | $54.95 | $54.95 | $54.95 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | RB · Replacement part | $724.44 | $724.44 | $724.44 |
Where New York sits
The same service costs 11.2 times more in North Dakota than in Rhode Island. 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
$380
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.