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 $977.24 Median $1,122.02 Typical High $1,348.96 | Facility | None | $977.24 | $1,122.02 | $1,348.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $1,348.96 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $1,348.96 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $831.76 Median $831.76 Typical High $1,023.29 | Professional | UE · Used equipment | $831.76 | $831.76 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $812.83 Median $812.83 Typical High $1,778.28 | Professional | None (both parts) | $812.83 | $812.83 | $1,778.28 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $81.28 Median $81.28 Typical High $208.93 | Professional | RR · Rental | $81.28 | $81.28 | $208.93 |
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 (both parts) Typical Low $154.88 Median $154.88 Typical High $2,041.74 | Professional | None (both parts) | $154.88 | $154.88 | $2,041.74 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $851.14 Typical High $1,174.90 | Facility | None | $263.03 | $851.14 | $1,174.90 |
Cigna Setting Facility Modifier RR · Rental Typical Low $48.98 Median $85.11 Typical High $218.78 | Facility | RR · Rental | $48.98 | $85.11 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $724.44 | $724.44 | $724.44 |
Cigna Setting Professional Modifier RR · Rental Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | RR · Rental | $72.44 | $72.44 | $72.44 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | UE · Used equipment | $537.03 | $537.03 | $537.03 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $102.33 Median $169.82 Typical High $371.54 | Facility | RR · Rental | $102.33 | $169.82 | $371.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $1,778.28 Typical High $1,862.09 | Professional | None (both parts) | $1,778.28 | $1,778.28 | $1,862.09 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $107.15 Median $112.20 Typical High $177.83 | Professional | RR · Rental | $107.15 | $112.20 | $177.83 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $186.21 | Professional | None (both parts) | $173.78 | $173.78 | $186.21 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $117.49 Median $173.78 Typical High $186.21 | Professional | RR · Rental | $117.49 | $173.78 | $186.21 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | RR · Rental | $56.23 | $56.23 | $56.23 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $123.03 Typical High $758.58 | Professional | None (both parts) | $44.67 | $123.03 | $758.58 |
United Setting Professional Modifier RR · Rental Typical Low $44.67 Median $89.13 Typical High $125.89 | Professional | RR · Rental | $44.67 | $89.13 | $125.89 |
United Setting Professional Modifier UE · Used equipment Typical Low $446.68 Median $549.54 Typical High $562.34 | Professional | UE · Used equipment | $446.68 | $549.54 | $562.34 |
Univera Setting Facility Modifier None Typical Low $12.59 Median $173.78 Typical High $173.78 | Facility | None | $12.59 | $173.78 | $173.78 |
Univera Setting Professional Modifier None (both parts) Typical Low $102.33 Median $173.78 Typical High $186.21 | Professional | None (both parts) | $102.33 | $173.78 | $186.21 |
Univera Setting Professional Modifier RR · Rental Typical Low $102.33 Median $173.78 Typical High $186.21 | Professional | RR · Rental | $102.33 | $173.78 | $186.21 |
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 $257.04 Median $275.42 Typical High $346.74 | Professional | 26 · Professional part | $257.04 | $275.42 | $346.74 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | KH · Purchase or 1st rental month | $117.49 | $117.49 | $117.49 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | KH · Purchase or 1st rental month | $117.49 | $117.49 | $117.49 |
Where New York sits
The same service costs 11.5 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· 24th of 51
$813
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.