How much rates vary
Facilitymedian $2,399 · 10th to 90th $1,202 to $2,570Professionalmedian $1,778 · 10th to 90th $1,202 to $2,399
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 $1,023.29 Median $1,584.89 Typical High $2,570.40 | Facility | None | $1,023.29 | $1,584.89 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $1,584.89 Typical High $2,570.40 | Professional | None | $758.58 | $1,584.89 | $2,570.40 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $575.44 Median $1,202.26 Typical High $1,949.84 | Professional | UE · Used equipment | $575.44 | $1,202.26 | $1,949.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,570.40 | Professional | None | $1,995.26 | $1,995.26 | $2,570.40 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $199.53 Median $199.53 Typical High $354.81 | Professional | RR · Rental | $199.53 | $199.53 | $354.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | UE · Used equipment | $1,479.11 | $1,479.11 | $1,479.11 |
CDPHP Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $2,951.21 | Professional | None | $223.87 | $223.87 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,202.26 Typical High $2,754.23 | Facility | None | $616.60 | $1,202.26 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,023.29 | $1,202.26 | $1,202.26 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $275.42 Median $457.09 Typical High $1,000.00 | Facility | RR · Rental | $275.42 | $457.09 | $1,000.00 |
Emblem Health Setting Professional Modifier None Typical Low $1,905.46 Median $2,398.83 Typical High $2,398.83 | Professional | None | $1,905.46 | $2,398.83 | $2,398.83 |
Excellus BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $2,398.83 | Professional | None | $1,584.89 | $1,659.59 | $2,398.83 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $158.49 Median $165.96 Typical High $239.88 | Professional | RR · Rental | $158.49 | $165.96 | $239.88 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,148.15 Median $1,174.90 Typical High $1,258.93 | Professional | UE · Used equipment | $1,148.15 | $1,174.90 | $1,258.93 |
Highmark BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | UE · Used equipment | $1,258.93 | $1,258.93 | $1,258.93 |
MVP Health Care Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Facility | None | $5,128.61 | $5,128.61 | $5,128.61 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $165.96 Median $165.96 Typical High $309.03 | Professional | RR · Rental | $165.96 | $165.96 | $309.03 |
United Setting Professional Modifier None Typical Low $870.96 Median $1,380.38 Typical High $1,905.46 | Professional | None | $870.96 | $1,380.38 | $1,905.46 |
United Setting Professional Modifier RR · Rental Typical Low $87.10 Median $144.54 Typical High $204.17 | Professional | RR · Rental | $87.10 | $144.54 | $204.17 |
United Setting Professional Modifier UE · Used equipment Typical Low $660.69 Median $1,047.13 Typical High $1,412.54 | Professional | UE · Used equipment | $660.69 | $1,047.13 | $1,412.54 |
Univera Setting Facility Modifier None Typical Low $1,584.89 Median $2,398.83 Typical High $2,398.83 | Facility | None | $1,584.89 | $2,398.83 | $2,398.83 |
Univera Setting Professional Modifier None Typical Low $1,584.89 Median $1,659.59 Typical High $2,398.83 | Professional | None | $1,584.89 | $1,659.59 | $2,398.83 |
Univera Setting Professional Modifier RR · Rental Typical Low $158.49 Median $223.87 Typical High $239.88 | Professional | RR · Rental | $158.49 | $223.87 | $239.88 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $1,148.15 Median $1,174.90 Typical High $2,398.83 | Professional | UE · Used equipment | $1,148.15 | $1,174.90 | $2,398.83 |
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 $223.87 Median $223.87 Typical High $223.87 | Professional | KH · Purchase or 1st rental month | $223.87 | $223.87 | $223.87 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | RB · Replacement part | $2,951.21 | $2,951.21 | $2,951.21 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | KH · Purchase or 1st rental month | $223.87 | $223.87 | $223.87 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | RB · Replacement part | $2,951.21 | $2,951.21 | $2,951.21 |
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· 18th of 51
$1,862
ND $3,090IL $240
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.