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 $46.77 Median $72.44 Typical High $120.23 | Facility | None | $46.77 | $72.44 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $120.23 | Professional | None | $72.44 | $72.44 | $120.23 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $54.95 Median $54.95 Typical High $89.13 | Professional | UE · Used equipment | $54.95 | $54.95 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $251.19 | Facility | None | $125.89 | $125.89 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $186.21 | Professional | None | $79.43 | $79.43 | $186.21 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $7.94 Median $7.94 Typical High $19.50 | Professional | RR · Rental | $7.94 | $7.94 | $19.50 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | UE · Used equipment | $58.88 | $58.88 | $58.88 |
CDPHP Setting Professional Modifier None Typical Low $11.48 Median $77.62 Typical High $102.33 | Professional | None | $11.48 | $77.62 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $61.66 Typical High $173.78 | Facility | None | $38.90 | $61.66 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $61.66 Typical High $74.13 | Professional | None | $52.48 | $61.66 | $74.13 |
Emblem Health Setting Facility Modifier None Typical Low $125.89 Median $208.93 Typical High $457.09 | Facility | None | $125.89 | $208.93 | $457.09 |
Emblem Health Setting Professional Modifier None Typical Low $79.43 Median $83.18 Typical High $125.89 | Professional | None | $79.43 | $83.18 | $125.89 |
Excellus BCBS Setting Professional Modifier None Typical Low $70.79 Median $72.44 Typical High $102.33 | Professional | None | $70.79 | $72.44 | $102.33 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $7.94 Median $8.13 Typical High $11.48 | Professional | RR · Rental | $7.94 | $8.13 | $11.48 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $53.70 Median $54.95 Typical High $77.62 | Professional | UE · Used equipment | $53.70 | $54.95 | $77.62 |
MVP Health Care Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $77.62 | Professional | None | $9.12 | $9.12 | $77.62 |
United Setting Professional Modifier None Typical Low $46.77 Median $74.13 Typical High $102.33 | Professional | None | $46.77 | $74.13 | $102.33 |
United Setting Professional Modifier RR · Rental Typical Low $5.25 Median $8.13 Typical High $11.22 | Professional | RR · Rental | $5.25 | $8.13 | $11.22 |
United Setting Professional Modifier UE · Used equipment Typical Low $34.67 Median $54.95 Typical High $75.86 | Professional | UE · Used equipment | $34.67 | $54.95 | $75.86 |
Univera Setting Facility Modifier None Typical Low $70.79 Median $72.44 Typical High $85.11 | Facility | None | $70.79 | $72.44 | $85.11 |
Univera Setting Professional Modifier None Typical Low $70.79 Median $72.44 Typical High $102.33 | Professional | None | $70.79 | $72.44 | $102.33 |
Univera Setting Professional Modifier RR · Rental Typical Low $7.94 Median $8.13 Typical High $11.48 | Professional | RR · Rental | $7.94 | $8.13 | $11.48 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $53.70 Median $54.95 Typical High $77.62 | Professional | UE · Used equipment | $53.70 | $54.95 | $77.62 |
2 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 $11.48 Median $11.48 Typical High $11.48 | Professional | KH · Purchase or 1st rental month | $11.48 | $11.48 | $11.48 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | KH · Purchase or 1st rental month | $11.48 | $11.48 | $11.48 |
Where New York sits
The same service costs 5.0 times more in Kansas than in New Jersey. 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· 32nd of 51
$79.43
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.