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 $549.54 Median $776.25 Typical High $1,258.93 | Facility | None | $549.54 | $776.25 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,258.93 | Professional | None | $776.25 | $776.25 | $1,258.93 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $588.84 Typical High $954.99 | Professional | UE · Used equipment | $588.84 | $588.84 | $954.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $977.24 | Professional | None | $776.25 | $776.25 | $977.24 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $77.62 Median $77.62 Typical High $186.21 | Professional | RR · Rental | $77.62 | $77.62 | $186.21 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | UE · Used equipment | $588.84 | $588.84 | $588.84 |
CDPHP Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $1,412.54 | Professional | None | $109.65 | $109.65 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $1,479.11 | Facility | None | $199.53 | $199.53 | $1,479.11 |
Cigna Setting Facility Modifier RR · Rental Typical Low $19.95 Median $19.95 Typical High $169.82 | Facility | RR · Rental | $19.95 | $19.95 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $199.53 | Professional | None | $169.82 | $199.53 | $199.53 |
Cigna Setting Professional Modifier RR · Rental Typical Low $16.98 Median $19.95 Typical High $19.95 | Professional | RR · Rental | $16.98 | $19.95 | $19.95 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $134.90 Median $223.87 Typical High $489.78 | Facility | RR · Rental | $134.90 | $223.87 | $489.78 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $83.18 Median $100.00 Typical High $147.91 | Professional | RR · Rental | $83.18 | $100.00 | $147.91 |
Excellus BCBS Setting Professional Modifier None Typical Low $758.58 Median $776.25 Typical High $812.83 | Professional | None | $758.58 | $776.25 | $812.83 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $75.86 Median $77.62 Typical High $109.65 | Professional | RR · Rental | $75.86 | $77.62 | $109.65 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $457.09 Median $489.78 Typical High $575.44 | Professional | UE · Used equipment | $457.09 | $489.78 | $575.44 |
MVP Health Care Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
United Setting Professional Modifier None Typical Low $407.38 Median $741.31 Typical High $1,000.00 | Professional | None | $407.38 | $741.31 | $1,000.00 |
United Setting Professional Modifier RR · Rental Typical Low $45.71 Median $72.44 Typical High $102.33 | Professional | RR · Rental | $45.71 | $72.44 | $102.33 |
United Setting Professional Modifier UE · Used equipment Typical Low $302.00 Median $549.54 Typical High $758.58 | Professional | UE · Used equipment | $302.00 | $549.54 | $758.58 |
Univera Setting Facility Modifier None Typical Low $602.56 Median $776.25 Typical High $776.25 | Facility | None | $602.56 | $776.25 | $776.25 |
Univera Setting Professional Modifier None Typical Low $457.09 Median $776.25 Typical High $812.83 | Professional | None | $457.09 | $776.25 | $812.83 |
Univera Setting Professional Modifier RR · Rental Typical Low $75.86 Median $77.62 Typical High $109.65 | Professional | RR · Rental | $75.86 | $77.62 | $109.65 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $263.03 Median $489.78 Typical High $575.44 | Professional | UE · Used equipment | $263.03 | $489.78 | $575.44 |
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 $109.65 Median $109.65 Typical High $109.65 | Professional | KH · Purchase or 1st rental month | $109.65 | $109.65 | $109.65 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | RB · Replacement part | $1,412.54 | $1,412.54 | $1,412.54 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | KH · Purchase or 1st rental month | $109.65 | $109.65 | $109.65 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | RB · Replacement part | $1,412.54 | $1,412.54 | $1,412.54 |
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· 16th of 51
$776
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.