How much rates vary
Facilitymedian $1,479 · 10th to 90th $447 to $2,512Professionalmedian $1,514 · 10th to 90th $1,148 to $1,905
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 $977.24 Median $1,513.56 Typical High $2,511.89 | Facility | None | $977.24 | $1,513.56 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $2,511.89 | Professional | None | $1,513.56 | $1,513.56 | $2,511.89 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,148.15 Median $1,148.15 Typical High $1,862.09 | Professional | UE · Used equipment | $1,148.15 | $1,148.15 | $1,862.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $2,511.89 | Professional | None | $1,905.46 | $1,905.46 | $2,511.89 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $190.55 Median $190.55 Typical High $338.84 | Professional | RR · Rental | $190.55 | $190.55 | $338.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | UE · Used equipment | $1,445.44 | $1,445.44 | $1,445.44 |
CDPHP Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $2,818.38 | Professional | None | $213.80 | $213.80 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $1,445.44 Typical High $2,691.53 | Facility | None | $190.55 | $1,445.44 | $2,691.53 |
Cigna Setting Facility Modifier RR · Rental Typical Low $19.05 Median $144.54 Typical High $323.59 | Facility | RR · Rental | $19.05 | $144.54 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $1,445.44 Typical High $1,445.44 | Professional | None | $190.55 | $1,445.44 | $1,445.44 |
Cigna Setting Professional Modifier RR · Rental Typical Low $19.05 Median $144.54 Typical High $144.54 | Professional | RR · Rental | $19.05 | $144.54 | $144.54 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $263.03 Median $436.52 Typical High $954.99 | Facility | RR · Rental | $263.03 | $436.52 | $954.99 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $165.96 Median $199.53 Typical High $263.03 | Professional | RR · Rental | $165.96 | $199.53 | $263.03 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,479.11 Median $1,513.56 Typical High $1,621.81 | Professional | None | $1,479.11 | $1,513.56 | $1,621.81 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $147.91 Median $151.36 Typical High $213.80 | Professional | RR · Rental | $147.91 | $151.36 | $213.80 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,122.02 Median $1,148.15 Typical High $1,202.26 | Professional | UE · Used equipment | $1,122.02 | $1,148.15 | $1,202.26 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $162.18 Median $162.18 Typical High $295.12 | Professional | RR · Rental | $162.18 | $162.18 | $295.12 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,318.26 Typical High $1,819.70 | Professional | None | $851.14 | $1,318.26 | $1,819.70 |
United Setting Professional Modifier RR · Rental Typical Low $85.11 Median $138.04 Typical High $194.98 | Professional | RR · Rental | $85.11 | $138.04 | $194.98 |
United Setting Professional Modifier UE · Used equipment Typical Low $630.96 Median $1,000.00 Typical High $1,380.38 | Professional | UE · Used equipment | $630.96 | $1,000.00 | $1,380.38 |
Univera Setting Facility Modifier None Typical Low $1,479.11 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,479.11 | $1,513.56 | $1,513.56 |
Univera Setting Professional Modifier None Typical Low $891.25 Median $1,513.56 Typical High $1,621.81 | Professional | None | $891.25 | $1,513.56 | $1,621.81 |
Univera Setting Professional Modifier RR · Rental Typical Low $147.91 Median $151.36 Typical High $213.80 | Professional | RR · Rental | $147.91 | $151.36 | $213.80 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $676.08 Median $1,148.15 Typical High $1,202.26 | Professional | UE · Used equipment | $676.08 | $1,148.15 | $1,202.26 |
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 $213.80 Median $213.80 Typical High $213.80 | Professional | KH · Purchase or 1st rental month | $213.80 | $213.80 | $213.80 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | RB · Replacement part | $2,818.38 | $2,818.38 | $2,818.38 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | KH · Purchase or 1st rental month | $213.80 | $213.80 | $213.80 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | RB · Replacement part | $2,818.38 | $2,818.38 | $2,818.38 |
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
$1,514
ND $2,951MS $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.