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 $1,148.15 Median $1,778.28 Typical High $2,884.03 | Facility | None | $1,148.15 | $1,778.28 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,884.03 | Professional | None | $1,778.28 | $1,778.28 | $2,884.03 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,318.26 Median $1,318.26 Typical High $2,137.96 | Professional | UE · Used equipment | $1,318.26 | $1,318.26 | $2,137.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,884.03 | Professional | None | $2,187.76 | $2,187.76 | $2,884.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $218.78 Median $218.78 Typical High $398.11 | Professional | RR · Rental | $218.78 | $218.78 | $398.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | UE · Used equipment | $1,659.59 | $1,659.59 | $1,659.59 |
CDPHP Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $3,235.94 | Professional | None | $251.19 | $251.19 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,230.27 Typical High $3,090.30 | Facility | None | $676.08 | $1,230.27 | $3,090.30 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,047.13 | $1,230.27 | $1,230.27 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $302.00 Median $501.19 Typical High $1,096.48 | Facility | RR · Rental | $302.00 | $501.19 | $1,096.48 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $190.55 Median $229.09 Typical High $302.00 | Professional | RR · Rental | $190.55 | $229.09 | $302.00 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $1,737.80 Typical High $1,862.09 | Professional | None | $1,698.24 | $1,737.80 | $1,862.09 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $169.82 Median $173.78 Typical High $251.19 | Professional | RR · Rental | $169.82 | $173.78 | $251.19 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,288.25 Median $1,318.26 Typical High $1,380.38 | Professional | UE · Used equipment | $1,288.25 | $1,318.26 | $1,380.38 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $186.21 Median $186.21 Typical High $346.74 | Professional | RR · Rental | $186.21 | $186.21 | $346.74 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,548.82 Typical High $2,089.30 | Professional | None | $977.24 | $1,548.82 | $2,089.30 |
United Setting Professional Modifier RR · Rental Typical Low $97.72 Median $158.49 Typical High $223.87 | Professional | RR · Rental | $97.72 | $158.49 | $223.87 |
United Setting Professional Modifier UE · Used equipment Typical Low $724.44 Median $1,148.15 Typical High $1,584.89 | Professional | UE · Used equipment | $724.44 | $1,148.15 | $1,584.89 |
Univera Setting Facility Modifier None Typical Low $1,698.24 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,698.24 | $1,737.80 | $1,737.80 |
Univera Setting Professional Modifier None Typical Low $1,023.29 Median $1,737.80 Typical High $1,862.09 | Professional | None | $1,023.29 | $1,737.80 | $1,862.09 |
Univera Setting Professional Modifier RR · Rental Typical Low $169.82 Median $173.78 Typical High $251.19 | Professional | RR · Rental | $169.82 | $173.78 | $251.19 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $776.25 Median $1,318.26 Typical High $1,380.38 | Professional | UE · Used equipment | $776.25 | $1,318.26 | $1,380.38 |
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 $251.19 Median $251.19 Typical High $251.19 | Professional | KH · Purchase or 1st rental month | $251.19 | $251.19 | $251.19 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | RB · Replacement part | $3,235.94 | $3,235.94 | $3,235.94 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | KH · Purchase or 1st rental month | $251.19 | $251.19 | $251.19 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | RB · Replacement part | $3,235.94 | $3,235.94 | $3,235.94 |
Where New York sits
The same service costs 10.7 times more in North Dakota 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· 24th of 51
$1,778
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.