How much rates vary
Facilitymedian $1,148 · 10th to 90th $389 to $2,239Professionalmedian $1,380 · 10th to 90th $1,023 to $1,698
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 $870.96 Median $1,348.96 Typical High $2,187.76 | Facility | None | $870.96 | $1,348.96 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $1,348.96 Typical High $2,187.76 | Professional | None | $676.08 | $1,348.96 | $2,187.76 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $489.78 Median $1,000.00 Typical High $1,659.59 | Professional | UE · Used equipment | $489.78 | $1,000.00 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $2,187.76 | Professional | None | $1,698.24 | $1,698.24 | $2,187.76 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $169.82 Median $169.82 Typical High $302.00 | Professional | RR · Rental | $169.82 | $169.82 | $302.00 |
Anthem 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 |
CDPHP Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $2,454.71 | Professional | None | $190.55 | $190.55 | $2,454.71 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $1,071.52 Typical High $2,344.23 | Facility | None | $173.78 | $1,071.52 | $2,344.23 |
Cigna Setting Facility Modifier RR · Rental Typical Low $17.38 Median $107.15 Typical High $288.40 | Facility | RR · Rental | $17.38 | $107.15 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $1,071.52 Typical High $1,071.52 | Professional | None | $173.78 | $1,071.52 | $1,071.52 |
Cigna Setting Professional Modifier RR · Rental Typical Low $17.38 Median $107.15 Typical High $107.15 | Professional | RR · Rental | $17.38 | $107.15 | $107.15 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $234.42 Median $389.05 Typical High $851.14 | Facility | RR · Rental | $234.42 | $389.05 | $851.14 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $144.54 Median $173.78 Typical High $234.42 | Professional | RR · Rental | $144.54 | $173.78 | $234.42 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,318.26 Median $1,348.96 Typical High $1,412.54 | Professional | None | $1,318.26 | $1,348.96 | $1,412.54 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $131.83 Median $134.90 Typical High $190.55 | Professional | RR · Rental | $131.83 | $134.90 | $190.55 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $977.24 Median $1,000.00 Typical High $1,071.52 | Professional | UE · Used equipment | $977.24 | $1,000.00 | $1,071.52 |
Highmark BCBS Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $141.25 Median $141.25 Typical High $263.03 | Professional | RR · Rental | $141.25 | $141.25 | $263.03 |
United Setting Professional Modifier None Typical Low $741.31 Median $1,174.90 Typical High $1,621.81 | Professional | None | $741.31 | $1,174.90 | $1,621.81 |
United Setting Professional Modifier RR · Rental Typical Low $74.13 Median $123.03 Typical High $173.78 | Professional | RR · Rental | $74.13 | $123.03 | $173.78 |
United Setting Professional Modifier UE · Used equipment Typical Low $562.34 Median $891.25 Typical High $1,202.26 | Professional | UE · Used equipment | $562.34 | $891.25 | $1,202.26 |
Univera Setting Facility Modifier None Typical Low $1,318.26 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,318.26 | $1,348.96 | $1,348.96 |
Univera Setting Professional Modifier None Typical Low $1,318.26 Median $1,348.96 Typical High $1,412.54 | Professional | None | $1,318.26 | $1,348.96 | $1,412.54 |
Univera Setting Professional Modifier RR · Rental Typical Low $131.83 Median $134.90 Typical High $190.55 | Professional | RR · Rental | $131.83 | $134.90 | $190.55 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $977.24 Median $1,000.00 Typical High $1,071.52 | Professional | UE · Used equipment | $977.24 | $1,000.00 | $1,071.52 |
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 $190.55 Median $190.55 Typical High $190.55 | Professional | KH · Purchase or 1st rental month | $190.55 | $190.55 | $190.55 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | RB · Replacement part | $2,454.71 | $2,454.71 | $2,454.71 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | KH · Purchase or 1st rental month | $190.55 | $190.55 | $190.55 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | RB · Replacement part | $2,454.71 | $2,454.71 | $2,454.71 |
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· 24th of 51
$1,349
ND $2,630IL $204
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.