How much rates vary
Facilitymedian $1,047 · 10th to 90th $513 to $1,778Professionalmedian $1,000 · 10th to 90th $631 to $1,202
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 $645.65 Median $1,071.52 Typical High $1,778.28 | Facility | None | $645.65 | $1,071.52 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,778.28 | Professional | None | $1,071.52 | $1,071.52 | $1,778.28 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $812.83 Median $812.83 Typical High $1,318.26 | Professional | UE · Used equipment | $812.83 | $812.83 | $1,318.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,230.27 | Professional | None | $1,000.00 | $1,000.00 | $1,230.27 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $100.00 Median $100.00 Typical High $245.47 | Professional | RR · Rental | $100.00 | $100.00 | $245.47 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | UE · Used equipment | $741.31 | $741.31 | $741.31 |
CDPHP Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $1,995.26 | Professional | None | $151.36 | $151.36 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $512.86 Typical High $1,905.46 | Facility | None | $416.87 | $512.86 | $1,905.46 |
Cigna Setting Facility Modifier RR · Rental Typical Low $51.29 Median $51.29 Typical High $229.09 | Facility | RR · Rental | $51.29 | $51.29 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $512.86 Typical High $512.86 | Professional | None | $436.52 | $512.86 | $512.86 |
Cigna Setting Professional Modifier RR · Rental Typical Low $43.65 Median $51.29 Typical High $51.29 | Professional | RR · Rental | $43.65 | $51.29 | $51.29 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $186.21 Median $309.03 Typical High $676.08 | Facility | RR · Rental | $186.21 | $309.03 | $676.08 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $114.82 Median $141.25 Typical High $186.21 | Professional | RR · Rental | $114.82 | $141.25 | $186.21 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,047.13 Median $1,071.52 Typical High $1,148.15 | Professional | None | $1,047.13 | $1,071.52 | $1,148.15 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $104.71 Median $107.15 Typical High $151.36 | Professional | RR · Rental | $104.71 | $107.15 | $151.36 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $575.44 Median $616.60 Typical High $794.33 | Professional | UE · Used equipment | $575.44 | $616.60 | $794.33 |
MVP Health Care Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
United Setting Professional Modifier None Typical Low $512.86 Median $933.25 Typical High $1,288.25 | Professional | None | $512.86 | $933.25 | $1,288.25 |
United Setting Professional Modifier RR · Rental Typical Low $60.26 Median $95.50 Typical High $138.04 | Professional | RR · Rental | $60.26 | $95.50 | $138.04 |
United Setting Professional Modifier UE · Used equipment Typical Low $389.05 Median $707.95 Typical High $954.99 | Professional | UE · Used equipment | $389.05 | $707.95 | $954.99 |
Univera Setting Facility Modifier None Typical Low $1,047.13 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,047.13 | $1,071.52 | $1,071.52 |
Univera Setting Professional Modifier None Typical Low $630.96 Median $1,071.52 Typical High $1,148.15 | Professional | None | $630.96 | $1,071.52 | $1,148.15 |
Univera Setting Professional Modifier RR · Rental Typical Low $104.71 Median $107.15 Typical High $151.36 | Professional | RR · Rental | $104.71 | $107.15 | $151.36 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $331.13 Median $616.60 Typical High $794.33 | Professional | UE · Used equipment | $331.13 | $616.60 | $794.33 |
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 $151.36 Median $151.36 Typical High $151.36 | Professional | KH · Purchase or 1st rental month | $151.36 | $151.36 | $151.36 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | RB · Replacement part | $1,995.26 | $1,995.26 | $1,995.26 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | KH · Purchase or 1st rental month | $151.36 | $151.36 | $151.36 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | RB · Replacement part | $1,995.26 | $1,995.26 | $1,995.26 |
Where New York sits
The same service costs 12.6 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· 15th of 51
$1,000
ND $2,089MS $166
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.