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 $1,071.52 Median $1,862.09 Typical High $3,019.95 | Facility | None | $1,071.52 | $1,862.09 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $3,019.95 | Professional | None | $1,862.09 | $1,862.09 | $3,019.95 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,479.11 Median $1,479.11 Typical High $2,398.83 | Professional | UE · Used equipment | $1,479.11 | $1,479.11 | $2,398.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $6,456.54 | Facility | None | $3,235.94 | $3,235.94 | $6,456.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $4,466.84 | Professional | None | $1,698.24 | $1,698.24 | $4,466.84 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $169.82 Median $169.82 Typical High $416.87 | Professional | RR · Rental | $169.82 | $169.82 | $416.87 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | UE · Used equipment | $1,288.25 | $1,288.25 | $1,288.25 |
CDPHP Setting Professional Modifier None Typical Low $257.04 Median $2,089.30 Typical High $2,630.27 | Professional | None | $257.04 | $2,089.30 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,778.28 Typical High $3,981.07 | Facility | None | $870.96 | $1,778.28 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,778.28 Typical High $1,905.46 | Professional | None | $1,513.56 | $1,778.28 | $1,905.46 |
Emblem Health Setting Facility Modifier None Typical Low $3,235.94 Median $5,370.32 Typical High $11,748.98 | Facility | None | $3,235.94 | $5,370.32 | $11,748.98 |
Emblem Health Setting Professional Modifier None Typical Low $1,995.26 Median $2,089.30 Typical High $3,235.94 | Professional | None | $1,995.26 | $2,089.30 | $3,235.94 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,819.70 Median $1,862.09 Typical High $2,630.27 | Professional | None | $1,819.70 | $1,862.09 | $2,630.27 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $177.83 Median $181.97 Typical High $257.04 | Professional | RR · Rental | $177.83 | $181.97 | $257.04 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,445.44 Median $1,445.44 Typical High $2,089.30 | Professional | UE · Used equipment | $1,445.44 | $1,445.44 | $2,089.30 |
MVP Health Care Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $1,949.84 | Professional | None | $204.17 | $204.17 | $1,949.84 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,698.24 Typical High $2,398.83 | Professional | None | $1,023.29 | $1,698.24 | $2,398.83 |
United Setting Professional Modifier RR · Rental Typical Low $102.33 Median $162.18 Typical High $234.42 | Professional | RR · Rental | $102.33 | $162.18 | $234.42 |
United Setting Professional Modifier UE · Used equipment Typical Low $812.83 Median $1,318.26 Typical High $1,862.09 | Professional | UE · Used equipment | $812.83 | $1,318.26 | $1,862.09 |
Univera Setting Facility Modifier None Typical Low $1,819.70 Median $1,862.09 Typical High $2,137.96 | Facility | None | $1,819.70 | $1,862.09 | $2,137.96 |
Univera Setting Professional Modifier None Typical Low $1,819.70 Median $1,862.09 Typical High $2,630.27 | Professional | None | $1,819.70 | $1,862.09 | $2,630.27 |
Univera Setting Professional Modifier RR · Rental Typical Low $177.83 Median $181.97 Typical High $257.04 | Professional | RR · Rental | $177.83 | $181.97 | $257.04 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $1,445.44 Median $1,445.44 Typical High $2,089.30 | Professional | UE · Used equipment | $1,445.44 | $1,445.44 | $2,089.30 |
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 $257.04 Median $257.04 Typical High $257.04 | Professional | KH · Purchase or 1st rental month | $257.04 | $257.04 | $257.04 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | KH · Purchase or 1st rental month | $257.04 | $257.04 | $257.04 |
Where New York sits
The same service costs 2.3 times more in Wyoming 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· 20th of 51
$1,862
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.