How much rates vary
Facilitymedian $2,455 · 10th to 90th $1,413 to $2,951Professionalmedian $2,042 · 10th to 90th $1,445 to $2,455
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 $1,174.90 Median $1,819.70 Typical High $2,951.21 | Facility | None | $1,174.90 | $1,819.70 | $2,951.21 |
Aetna Setting Professional Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $2,951.21 | Professional | None | $1,819.70 | $1,819.70 | $2,951.21 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,380.38 Median $1,380.38 Typical High $2,238.72 | Professional | UE · Used equipment | $1,380.38 | $1,380.38 | $2,238.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,951.21 | Professional | None | $2,290.87 | $2,290.87 | $2,951.21 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $229.09 Median $229.09 Typical High $407.38 | Professional | RR · Rental | $229.09 | $229.09 | $407.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | UE · Used equipment | $1,698.24 | $1,698.24 | $1,698.24 |
CDPHP Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $3,388.44 | Professional | None | $257.04 | $257.04 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,412.54 Typical High $3,162.28 | Facility | None | $707.95 | $1,412.54 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,202.26 | $1,412.54 | $1,412.54 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $316.23 Median $524.81 Typical High $1,148.15 | Facility | RR · Rental | $316.23 | $524.81 | $1,148.15 |
Emblem Health Setting Professional Modifier None Typical Low $1,995.26 Median $2,454.71 Typical High $2,454.71 | Professional | None | $1,995.26 | $2,454.71 | $2,454.71 |
Excellus BCBS Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,819.70 Median $1,905.46 Typical High $2,454.71 | Professional | None | $1,819.70 | $1,905.46 | $2,454.71 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $181.97 Median $190.55 Typical High $257.04 | Professional | RR · Rental | $181.97 | $190.55 | $257.04 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,318.26 Median $1,348.96 Typical High $1,445.44 | Professional | UE · Used equipment | $1,318.26 | $1,348.96 | $1,445.44 |
MVP Health Care Setting Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Facility | None | $5,370.32 | $5,370.32 | $5,370.32 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $190.55 Median $190.55 Typical High $354.81 | Professional | RR · Rental | $190.55 | $190.55 | $354.81 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,584.89 Typical High $2,187.76 | Professional | None | $1,000.00 | $1,584.89 | $2,187.76 |
United Setting Professional Modifier RR · Rental Typical Low $100.00 Median $165.96 Typical High $234.42 | Professional | RR · Rental | $100.00 | $165.96 | $234.42 |
United Setting Professional Modifier UE · Used equipment Typical Low $758.58 Median $1,202.26 Typical High $1,621.81 | Professional | UE · Used equipment | $758.58 | $1,202.26 | $1,621.81 |
Univera Setting Facility Modifier None Typical Low $1,778.28 Median $2,454.71 Typical High $2,454.71 | Facility | None | $1,778.28 | $2,454.71 | $2,454.71 |
Univera Setting Professional Modifier None Typical Low $1,819.70 Median $1,905.46 Typical High $2,454.71 | Professional | None | $1,819.70 | $1,905.46 | $2,454.71 |
Univera Setting Professional Modifier RR · Rental Typical Low $181.97 Median $245.47 Typical High $257.04 | Professional | RR · Rental | $181.97 | $245.47 | $257.04 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $1,318.26 Median $1,348.96 Typical High $2,454.71 | Professional | UE · Used equipment | $1,318.26 | $1,348.96 | $2,454.71 |
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 $257.04 Median $257.04 Typical High $257.04 | Professional | KH · Purchase or 1st rental month | $257.04 | $257.04 | $257.04 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | RB · Replacement part | $3,388.44 | $3,388.44 | $3,388.44 |
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 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | RB · Replacement part | $3,388.44 | $3,388.44 | $3,388.44 |
Where New York sits
The same service costs 12.9 times more in North Dakota 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· 17th of 51
$2,188
ND $3,548IL $275
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.