How much rates vary
Facilitymedian $501 · 10th to 90th $309 to $692Professionalmedian $417 · 10th to 90th $288 to $501
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 $288.40 Median $354.81 Typical High $478.63 | Facility | None | $288.40 | $354.81 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $354.81 Typical High $478.63 | Professional | None | $213.80 | $354.81 | $478.63 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $162.18 Median $269.15 Typical High $354.81 | Professional | UE · Used equipment | $162.18 | $269.15 | $354.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $741.31 | Professional | None | $363.08 | $363.08 | $741.31 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $36.31 Median $36.31 Typical High $70.79 | Professional | RR · Rental | $36.31 | $36.31 | $70.79 |
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 $52.48 Median $389.05 Typical High $524.81 | Professional | None | $52.48 | $389.05 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $309.03 Typical High $691.83 | Facility | None | $154.88 | $309.03 | $691.83 |
Cigna Setting Facility Modifier RR · Rental Typical Low $30.90 Median $30.90 Typical High $60.26 | Facility | RR · Rental | $30.90 | $30.90 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $309.03 Typical High $416.87 | Professional | None | $263.03 | $309.03 | $416.87 |
Cigna Setting Professional Modifier RR · Rental Typical Low $26.30 Median $30.90 Typical High $39.81 | Professional | RR · Rental | $26.30 | $30.90 | $39.81 |
Emblem Health Setting Facility Modifier None Typical Low $416.87 Median $691.83 Typical High $1,513.56 | Facility | None | $416.87 | $691.83 | $1,513.56 |
Emblem Health Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $416.87 | Professional | None | $275.42 | $275.42 | $416.87 |
Excellus BCBS Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Excellus BCBS Setting Facility Modifier RR · Rental Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | RR · Rental | $50.12 | $50.12 | $50.12 |
Excellus BCBS Setting Professional Modifier None Typical Low $407.38 Median $446.68 Typical High $501.19 | Professional | None | $407.38 | $446.68 | $501.19 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $41.69 Median $45.71 Typical High $50.12 | Professional | RR · Rental | $41.69 | $45.71 | $50.12 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $309.03 Median $331.13 Typical High $354.81 | Professional | UE · Used equipment | $309.03 | $331.13 | $354.81 |
Highmark BCBS Setting Professional Modifier RR · Rental Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | RR · Rental | $33.88 | $33.88 | $33.88 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $1,071.52 | Facility | None | $107.15 | $107.15 | $1,071.52 |
MVP Health Care Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $245.47 | Professional | None | $52.48 | $52.48 | $245.47 |
United Setting Professional Modifier None Typical Low $245.47 Median $331.13 Typical High $457.09 | Professional | None | $245.47 | $331.13 | $457.09 |
United Setting Professional Modifier RR · Rental Typical Low $23.99 Median $33.11 Typical High $46.77 | Professional | RR · Rental | $23.99 | $33.11 | $46.77 |
United Setting Professional Modifier UE · Used equipment Typical Low $177.83 Median $245.47 Typical High $346.74 | Professional | UE · Used equipment | $177.83 | $245.47 | $346.74 |
Univera Setting Facility Modifier None Typical Low $446.68 Median $501.19 Typical High $524.81 | Facility | None | $446.68 | $501.19 | $524.81 |
Univera Setting Facility Modifier RR · Rental Typical Low $45.71 Median $50.12 Typical High $56.23 | Facility | RR · Rental | $45.71 | $50.12 | $56.23 |
Univera Setting Professional Modifier None Typical Low $407.38 Median $467.74 Typical High $501.19 | Professional | None | $407.38 | $467.74 | $501.19 |
Univera Setting Professional Modifier RR · Rental Typical Low $41.69 Median $48.98 Typical High $50.12 | Professional | RR · Rental | $41.69 | $48.98 | $50.12 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $309.03 Median $331.13 Typical High $354.81 | Professional | UE · Used equipment | $309.03 | $331.13 | $354.81 |
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 $41.69 Median $41.69 Typical High $41.69 | Professional | KH · Purchase or 1st rental month | $41.69 | $41.69 | $41.69 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | KU · Bidding program group 3 | $630.96 | $630.96 | $630.96 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | KH · Purchase or 1st rental month | $41.69 | $41.69 | $41.69 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | KU · Bidding program group 3 | $630.96 | $630.96 | $630.96 |
Where New York sits
The same service costs 18.2 times more in Hawaii than in Illinois. 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· 12th of 51
$417
HI $813IL $44.67
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.