How much rates vary
Facilitymedian $550 · 10th to 90th $209 to $1,047Professionalmedian $537 · 10th to 90th $437 to $759
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $457.09 Median $524.81 Typical High $851.14 | Facility | None | $457.09 | $524.81 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $851.14 | Professional | None (both parts) | $524.81 | $524.81 | $851.14 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $389.05 Median $389.05 Typical High $645.65 | Professional | UE · Used equipment | $389.05 | $389.05 | $645.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $1,071.52 | Professional | None (both parts) | $537.03 | $537.03 | $1,071.52 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $53.70 Median $56.23 Typical High $165.96 | Professional | RR · Rental | $53.70 | $56.23 | $165.96 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $398.11 Median $398.11 Typical High $707.95 | Professional | UE · Used equipment | $398.11 | $398.11 | $707.95 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $954.99 | Professional | None (both parts) | $74.13 | $74.13 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $741.31 Typical High $1,047.13 | Facility | None | $158.49 | $741.31 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $660.69 | $660.69 | $660.69 |
Cigna Setting Professional Modifier RR · Rental Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | RR · Rental | $38.02 | $38.02 | $38.02 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | UE · Used equipment | $501.19 | $501.19 | $501.19 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $91.20 Median $147.91 Typical High $323.59 | Facility | RR · Rental | $91.20 | $147.91 | $323.59 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $58.88 Median $100.00 Typical High $165.96 | Professional | RR · Rental | $58.88 | $100.00 | $165.96 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $537.03 Median $549.54 Typical High $575.44 | Professional | None (both parts) | $537.03 | $549.54 | $575.44 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $53.70 Median $57.54 Typical High $74.13 | Professional | RR · Rental | $53.70 | $57.54 | $74.13 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $54.95 Median $54.95 Typical High $147.91 | Professional | RR · Rental | $54.95 | $54.95 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $478.63 Typical High $676.08 | Professional | None (both parts) | $309.03 | $478.63 | $676.08 |
United Setting Professional Modifier RR · Rental Typical Low $29.51 Median $54.95 Typical High $69.18 | Professional | RR · Rental | $29.51 | $54.95 | $69.18 |
United Setting Professional Modifier UE · Used equipment Typical Low $229.09 Median $363.08 Typical High $512.86 | Professional | UE · Used equipment | $229.09 | $363.08 | $512.86 |
Univera Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Univera Setting Professional Modifier None (both parts) Typical Low $537.03 Median $549.54 Typical High $575.44 | Professional | None (both parts) | $537.03 | $549.54 | $575.44 |
Univera Setting Professional Modifier RR · Rental Typical Low $53.70 Median $57.54 Typical High $74.13 | Professional | RR · Rental | $53.70 | $57.54 | $74.13 |
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 $75.86 Median $102.33 Typical High $125.89 | Professional | 26 · Professional part | $75.86 | $102.33 | $125.89 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | KH · Purchase or 1st rental month | $74.13 | $74.13 | $74.13 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | RB · Replacement part | $954.99 | $954.99 | $954.99 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | KH · Purchase or 1st rental month | $74.13 | $74.13 | $74.13 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | RB · Replacement part | $954.99 | $954.99 | $954.99 |
Where New York sits
The same service costs 3.2 times more in North Dakota than in Mississippi. 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· 39th of 51
$537
ND $1,047MS $324
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.