How much rates vary
Facilitymedian $316 · 10th to 90th $224 to $794Professionalmedian $224 · 10th to 90th $195 to $339
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 $147.91 Median $229.09 Typical High $371.54 | Facility | None | $147.91 | $229.09 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $371.54 | Professional | None | $229.09 | $229.09 | $371.54 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $169.82 Median $169.82 Typical High $281.84 | Professional | UE · Used equipment | $169.82 | $169.82 | $281.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $794.33 | Facility | None | $398.11 | $398.11 | $794.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $549.54 | Professional | None | $208.93 | $208.93 | $549.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $20.89 Median $20.89 Typical High $51.29 | Professional | RR · Rental | $20.89 | $20.89 | $51.29 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | UE · Used equipment | $158.49 | $158.49 | $158.49 |
CDPHP Setting Professional Modifier None Typical Low $32.36 Median $239.88 Typical High $323.59 | Professional | None | $32.36 | $239.88 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $239.88 Typical High $446.68 | Facility | None | $100.00 | $239.88 | $446.68 |
Cigna Setting Facility Modifier RR · Rental Typical Low $10.00 Median $23.99 Typical High $44.67 | Facility | RR · Rental | $10.00 | $23.99 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $239.88 | Professional | None | $204.17 | $239.88 | $239.88 |
Cigna Setting Professional Modifier RR · Rental Typical Low $20.42 Median $23.99 Typical High $23.99 | Professional | RR · Rental | $20.42 | $23.99 | $23.99 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $151.36 Median $177.83 Typical High $177.83 | Professional | UE · Used equipment | $151.36 | $177.83 | $177.83 |
Emblem Health Setting Facility Modifier None Typical Low $398.11 Median $645.65 Typical High $1,412.54 | Facility | None | $398.11 | $645.65 | $1,412.54 |
Emblem Health Setting Professional Modifier None Typical Low $245.47 Median $257.04 Typical High $398.11 | Professional | None | $245.47 | $257.04 | $398.11 |
Excellus BCBS Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $323.59 | Professional | None | $223.87 | $223.87 | $323.59 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $22.39 Median $22.39 Typical High $32.36 | Professional | RR · Rental | $22.39 | $22.39 | $32.36 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $165.96 Median $169.82 Typical High $239.88 | Professional | UE · Used equipment | $165.96 | $169.82 | $239.88 |
MVP Health Care Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $239.88 | Professional | None | $25.70 | $25.70 | $239.88 |
United Setting Professional Modifier None Typical Low $125.89 Median $208.93 Typical High $295.12 | Professional | None | $125.89 | $208.93 | $295.12 |
United Setting Professional Modifier RR · Rental Typical Low $12.59 Median $20.42 Typical High $29.51 | Professional | RR · Rental | $12.59 | $20.42 | $29.51 |
United Setting Professional Modifier UE · Used equipment Typical Low $95.50 Median $154.88 Typical High $218.78 | Professional | UE · Used equipment | $95.50 | $154.88 | $218.78 |
Univera Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $263.03 | Facility | None | $223.87 | $223.87 | $263.03 |
Univera Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $323.59 | Professional | None | $223.87 | $223.87 | $323.59 |
Univera Setting Professional Modifier RR · Rental Typical Low $22.39 Median $22.39 Typical High $32.36 | Professional | RR · Rental | $22.39 | $22.39 | $32.36 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $165.96 Median $169.82 Typical High $239.88 | Professional | UE · Used equipment | $165.96 | $169.82 | $239.88 |
2 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 $32.36 Median $32.36 Typical High $32.36 | Professional | KH · Purchase or 1st rental month | $32.36 | $32.36 | $32.36 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | KH · Purchase or 1st rental month | $32.36 | $32.36 | $32.36 |
Where New York sits
The same service costs 2.3 times more in Wisconsin 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· 30th of 51
$224
WI $398RI $174
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.