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 $630.96 Median $1,000.00 Typical High $1,621.81 | Facility | None | $630.96 | $1,000.00 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,621.81 | Professional | None | $1,000.00 | $1,000.00 | $1,621.81 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $741.31 Median $741.31 Typical High $1,230.27 | Professional | UE · Used equipment | $741.31 | $741.31 | $1,230.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,148.15 | Professional | None | $812.83 | $812.83 | $1,148.15 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $81.28 Median $81.28 Typical High $229.09 | Professional | RR · Rental | $81.28 | $81.28 | $229.09 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | UE · Used equipment | $602.56 | $602.56 | $602.56 |
CDPHP Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $1,819.70 | Professional | None | $141.25 | $141.25 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $1,047.13 Typical High $1,737.80 | Facility | None | $389.05 | $1,047.13 | $1,737.80 |
Cigna Setting Facility Modifier RR · Rental Typical Low $44.67 Median $104.71 Typical High $204.17 | Facility | RR · Rental | $44.67 | $104.71 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,047.13 | Professional | None | $891.25 | $1,047.13 | $1,047.13 |
Cigna Setting Professional Modifier RR · Rental Typical Low $89.13 Median $104.71 Typical High $104.71 | Professional | RR · Rental | $89.13 | $104.71 | $104.71 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $173.78 Median $288.40 Typical High $630.96 | Facility | RR · Rental | $173.78 | $288.40 | $630.96 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $107.15 Median $128.82 Typical High $173.78 | Professional | RR · Rental | $107.15 | $128.82 | $173.78 |
Excellus BCBS Setting Professional Modifier None Typical Low $977.24 Median $1,000.00 Typical High $1,047.13 | Professional | None | $977.24 | $1,000.00 | $1,047.13 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $97.72 Median $100.00 Typical High $141.25 | Professional | RR · Rental | $97.72 | $100.00 | $141.25 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $537.03 Median $575.44 Typical High $741.31 | Professional | UE · Used equipment | $537.03 | $575.44 | $741.31 |
MVP Health Care Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
United Setting Professional Modifier None Typical Low $478.63 Median $870.96 Typical High $1,202.26 | Professional | None | $478.63 | $870.96 | $1,202.26 |
United Setting Professional Modifier RR · Rental Typical Low $54.95 Median $89.13 Typical High $128.82 | Professional | RR · Rental | $54.95 | $89.13 | $128.82 |
United Setting Professional Modifier UE · Used equipment Typical Low $354.81 Median $645.65 Typical High $891.25 | Professional | UE · Used equipment | $354.81 | $645.65 | $891.25 |
Univera Setting Facility Modifier None Typical Low $691.83 Median $1,000.00 Typical High $1,000.00 | Facility | None | $691.83 | $1,000.00 | $1,000.00 |
Univera Setting Professional Modifier None Typical Low $588.84 Median $1,000.00 Typical High $1,047.13 | Professional | None | $588.84 | $1,000.00 | $1,047.13 |
Univera Setting Professional Modifier RR · Rental Typical Low $97.72 Median $100.00 Typical High $141.25 | Professional | RR · Rental | $97.72 | $100.00 | $141.25 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $309.03 Median $575.44 Typical High $741.31 | Professional | UE · Used equipment | $309.03 | $575.44 | $741.31 |
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 $141.25 Median $141.25 Typical High $141.25 | Professional | KH · Purchase or 1st rental month | $141.25 | $141.25 | $141.25 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | RB · Replacement part | $1,819.70 | $1,819.70 | $1,819.70 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | KH · Purchase or 1st rental month | $141.25 | $141.25 | $141.25 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | RB · Replacement part | $1,819.70 | $1,819.70 | $1,819.70 |
Where New York sits
The same service costs 12.9 times more in Kansas 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· 19th of 51
$977
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.