How much rates vary
Facilitymedian $41 · 10th to 90th $25 to $81Professionalmedian $23 · 10th to 90th $19 to $42
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 $15.14 Median $23.44 Typical High $38.02 | Facility | None | $15.14 | $23.44 | $38.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $23.44 Typical High $23.44 | Professional | None (both parts) | $22.91 | $23.44 | $23.44 |
Aetna Setting Professional Modifier RR · Rental Typical Low $1.58 Median $2.40 Typical High $45.71 | Professional | RR · Rental | $1.58 | $2.40 | $45.71 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $17.38 Typical High $28.84 | Professional | UE · Used equipment | $17.38 | $17.38 | $28.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $81.28 | Facility | None | $40.74 | $40.74 | $81.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $19.50 Median $19.50 Typical High $57.54 | Professional | None (both parts) | $19.50 | $19.50 | $57.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.95 Median $1.95 Typical High $2.75 | Professional | RR · Rental | $1.95 | $1.95 | $2.75 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | UE · Used equipment | $14.79 | $14.79 | $14.79 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $25.12 Typical High $61.66 | Facility | None | $13.80 | $25.12 | $61.66 |
Cigna Setting Facility Modifier RR · Rental Typical Low $2.51 Median $4.07 Typical High $25.12 | Facility | RR · Rental | $2.51 | $4.07 | $25.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None (both parts) | $21.38 | $21.38 | $21.38 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | RR · Rental | $2.14 | $2.14 | $2.14 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | UE · Used equipment | $16.22 | $16.22 | $16.22 |
Emblem Health Setting Facility Modifier None Typical Low $40.74 Median $66.07 Typical High $144.54 | Facility | None | $40.74 | $66.07 | $144.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $44.67 Typical High $69.18 | Professional | None (both parts) | $37.15 | $44.67 | $69.18 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $26.30 Median $28.18 Typical High $33.11 | Professional | None (both parts) | $26.30 | $28.18 | $33.11 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $2.82 Median $2.88 Typical High $3.02 | Professional | RR · Rental | $2.82 | $2.88 | $3.02 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $40.74 Median $41.69 Typical High $44.67 | Professional | UE · Used equipment | $40.74 | $41.69 | $44.67 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $37.15 | $37.15 | $37.15 |
United Setting Professional Modifier None (both parts) Typical Low $13.18 Median $19.95 Typical High $26.30 | Professional | None (both parts) | $13.18 | $19.95 | $26.30 |
United Setting Professional Modifier RR · Rental Typical Low $1.26 Median $2.09 Typical High $2.57 | Professional | RR · Rental | $1.26 | $2.09 | $2.57 |
United Setting Professional Modifier UE · Used equipment Typical Low $9.12 Median $15.14 Typical High $19.95 | Professional | UE · Used equipment | $9.12 | $15.14 | $19.95 |
Univera Setting Facility Modifier None Typical Low $26.30 Median $26.92 Typical High $50.12 | Facility | None | $26.30 | $26.92 | $50.12 |
Univera Setting Professional Modifier None (both parts) Typical Low $15.85 Median $28.18 Typical High $33.11 | Professional | None (both parts) | $15.85 | $28.18 | $33.11 |
Univera Setting Professional Modifier RR · Rental Typical Low $1.70 Median $2.88 Typical High $3.02 | Professional | RR · Rental | $1.70 | $2.88 | $3.02 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $23.99 Median $41.69 Typical High $44.67 | Professional | UE · Used equipment | $23.99 | $41.69 | $44.67 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $2.24 Median $2.40 Typical High $2.40 | Professional | MS · Maintenance fee | $2.24 | $2.40 | $2.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $2.45 Median $2.63 Typical High $3.80 | Professional | 26 · Professional part | $2.45 | $2.63 | $3.80 |
Where New York sits
The same service costs 2.6 times more in Hawaii than in Rhode Island. 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· 29th of 51
$23.44
HI $42.66RI $16.22
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.