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 $1,071.52 Median $1,288.25 Typical High $1,621.81 | Facility | None | $1,071.52 | $1,288.25 | $1,621.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $1,621.81 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,621.81 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $954.99 Median $954.99 Typical High $1,202.26 | Professional | UE · Used equipment | $954.99 | $954.99 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $2,041.74 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $2,041.74 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $102.33 Median $102.33 Typical High $251.19 | Professional | RR · Rental | $102.33 | $102.33 | $251.19 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | UE · Used equipment | $776.25 | $776.25 | $776.25 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $2,344.23 | Professional | None (both parts) | $177.83 | $177.83 | $2,344.23 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $1,513.56 | Facility | None | $93.33 | $93.33 | $1,513.56 |
Cigna Setting Facility Modifier RR · Rental Typical Low $60.26 Median $93.33 Typical High $269.15 | Facility | RR · Rental | $60.26 | $93.33 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None (both parts) | $794.33 | $794.33 | $794.33 |
Cigna Setting Professional Modifier RR · Rental Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | RR · Rental | $79.43 | $79.43 | $79.43 |
Cigna 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 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $131.83 Median $218.78 Typical High $478.63 | Facility | RR · Rental | $131.83 | $218.78 | $478.63 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $134.90 Median $144.54 Typical High $229.09 | Professional | RR · Rental | $134.90 | $144.54 | $229.09 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $190.55 Typical High $204.17 | Professional | None (both parts) | $186.21 | $190.55 | $204.17 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $138.04 Median $186.21 Typical High $204.17 | Professional | RR · Rental | $138.04 | $186.21 | $204.17 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | RR · Rental | $74.13 | $74.13 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $213.80 Typical High $954.99 | Professional | None (both parts) | $60.26 | $213.80 | $954.99 |
United Setting Professional Modifier RR · Rental Typical Low $53.70 Median $104.71 Typical High $144.54 | Professional | RR · Rental | $53.70 | $104.71 | $144.54 |
United Setting Professional Modifier UE · Used equipment Typical Low $575.44 Median $707.95 Typical High $724.44 | Professional | UE · Used equipment | $575.44 | $707.95 | $724.44 |
Univera Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Univera Setting Professional Modifier None (both parts) Typical Low $112.20 Median $190.55 Typical High $204.17 | Professional | None (both parts) | $112.20 | $190.55 | $204.17 |
Univera Setting Professional Modifier RR · Rental Typical Low $112.20 Median $186.21 Typical High $204.17 | Professional | RR · Rental | $112.20 | $186.21 | $204.17 |
3 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $309.03 Typical High $380.19 | Professional | 26 · Professional part | $288.40 | $309.03 | $380.19 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | KH · Purchase or 1st rental month | $138.04 | $138.04 | $138.04 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | KH · Purchase or 1st rental month | $138.04 | $138.04 | $138.04 |
Where New York sits
The same service costs 10.0 times more in Minnesota than in Montana. 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
$1,023
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.