How much rates vary
Facilitymedian $100 · 10th to 90th $56 to $955Professionalmedian $955 · 10th to 90th $85 to $1,288
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 $602.56 Median $954.99 Typical High $1,548.82 | Facility | None | $602.56 | $954.99 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $954.99 Typical High $1,548.82 | Professional | None (both parts) | $954.99 | $954.99 | $1,548.82 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $724.44 Median $724.44 Typical High $1,174.90 | Professional | UE · Used equipment | $724.44 | $724.44 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,258.93 Typical High $2,818.38 | Professional | None (both parts) | $1,258.93 | $1,258.93 | $2,818.38 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $125.89 Median $125.89 Typical High $309.03 | Professional | RR · Rental | $125.89 | $125.89 | $309.03 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $933.25 Median $933.25 Typical High $1,698.24 | Professional | UE · Used equipment | $933.25 | $933.25 | $1,698.24 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $1,737.80 | Professional | None (both parts) | $134.90 | $134.90 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $100.00 Typical High $100.00 | Facility | None | $43.65 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $85.11 | $85.11 | $85.11 |
Cigna 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 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $165.96 Median $275.42 Typical High $602.56 | Facility | RR · Rental | $165.96 | $275.42 | $602.56 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $107.15 Median $181.97 Typical High $302.00 | Professional | RR · Rental | $107.15 | $181.97 | $302.00 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $933.25 Median $954.99 Typical High $1,000.00 | Professional | None (both parts) | $933.25 | $954.99 | $1,000.00 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $93.33 Median $100.00 Typical High $134.90 | Professional | RR · Rental | $93.33 | $100.00 | $134.90 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $100.00 Median $100.00 Typical High $269.15 | Professional | RR · Rental | $100.00 | $100.00 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $107.15 Typical High $1,000.00 | Professional | None (both parts) | $57.54 | $107.15 | $1,000.00 |
United Setting Professional Modifier RR · Rental Typical Low $53.70 Median $100.00 Typical High $131.83 | Professional | RR · Rental | $53.70 | $100.00 | $131.83 |
Univera Setting Facility Modifier None Typical Low $114.82 Median $954.99 Typical High $954.99 | Facility | None | $114.82 | $954.99 | $954.99 |
Univera Setting Professional Modifier None (both parts) Typical Low $562.34 Median $954.99 Typical High $1,000.00 | Professional | None (both parts) | $562.34 | $954.99 | $1,000.00 |
Univera Setting Professional Modifier RR · Rental Typical Low $56.23 Median $100.00 Typical High $134.90 | Professional | RR · Rental | $56.23 | $100.00 | $134.90 |
5 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 $165.96 Median $199.53 Typical High $275.42 | Professional | 26 · Professional part | $165.96 | $199.53 | $275.42 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | KH · Purchase or 1st rental month | $134.90 | $134.90 | $134.90 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | RB · Replacement part | $1,737.80 | $1,737.80 | $1,737.80 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | KH · Purchase or 1st rental month | $134.90 | $134.90 | $134.90 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | RB · Replacement part | $1,737.80 | $1,737.80 | $1,737.80 |
Where New York sits
The same service costs 22.9 times more in North Dakota than in Delaware. 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
$955
ND $1,950DE $85.11
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.