How much rates vary
Facilitymedian $107 · 10th to 90th $107 to $1,072Professionalmedian $933 · 10th to 90th $91 to $1,230
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 $676.08 Median $1,096.48 Typical High $1,778.28 | Facility | None | $676.08 | $1,096.48 | $1,778.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $1,778.28 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $1,778.28 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $812.83 Median $812.83 Typical High $1,318.26 | Professional | UE · Used equipment | $812.83 | $812.83 | $1,318.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $2,137.96 | Professional | None (both parts) | $933.25 | $933.25 | $2,137.96 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $93.33 Median $117.49 Typical High $346.74 | Professional | RR · Rental | $93.33 | $117.49 | $346.74 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $707.95 Median $707.95 Typical High $1,258.93 | Professional | UE · Used equipment | $707.95 | $707.95 | $1,258.93 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $1,995.26 | Professional | None (both parts) | $154.88 | $154.88 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
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 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $186.21 Median $309.03 Typical High $676.08 | Facility | RR · Rental | $186.21 | $309.03 | $676.08 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $123.03 Median $208.93 Typical High $346.74 | Professional | RR · Rental | $123.03 | $208.93 | $346.74 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,071.52 Typical High $1,148.15 | Professional | None (both parts) | $1,047.13 | $1,071.52 | $1,148.15 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $104.71 Median $114.82 Typical High $154.88 | Professional | RR · Rental | $104.71 | $114.82 | $154.88 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $114.82 Median $114.82 Typical High $302.00 | Professional | RR · Rental | $114.82 | $114.82 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $123.03 Typical High $1,148.15 | Professional | None (both parts) | $63.10 | $123.03 | $1,148.15 |
United Setting Professional Modifier RR · Rental Typical Low $61.66 Median $114.82 Typical High $123.03 | Professional | RR · Rental | $61.66 | $114.82 | $123.03 |
Univera Setting Facility Modifier None Typical Low $1,047.13 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,047.13 | $1,071.52 | $1,071.52 |
Univera Setting Professional Modifier None (both parts) Typical Low $630.96 Median $1,071.52 Typical High $1,148.15 | Professional | None (both parts) | $630.96 | $1,071.52 | $1,148.15 |
Univera Setting Professional Modifier RR · Rental Typical Low $63.10 Median $114.82 Typical High $154.88 | Professional | RR · Rental | $63.10 | $114.82 | $154.88 |
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 $223.87 Typical High $281.84 | Professional | 26 · Professional part | $165.96 | $223.87 | $281.84 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | KH · Purchase or 1st rental month | $154.88 | $154.88 | $154.88 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | RB · Replacement part | $1,995.26 | $1,995.26 | $1,995.26 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | KH · Purchase or 1st rental month | $154.88 | $154.88 | $154.88 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | RB · Replacement part | $1,995.26 | $1,995.26 | $1,995.26 |
Where New York sits
The same service costs 21.4 times more in North Dakota than in Florida. 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· 15th of 51
$933
ND $1,950FL $91.20
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.