How much rates vary
Facilitymedian $3,090 · 10th to 90th $3,090 to $5,129Professionalmedian $3,162 · 10th to 90th $339 to $5,129
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 $1,995.26 Median $3,162.28 Typical High $5,128.61 | Facility | None | $1,995.26 | $3,162.28 | $5,128.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $3,162.28 Typical High $5,128.61 | Professional | None (both parts) | $3,162.28 | $3,162.28 | $5,128.61 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $2,344.23 Median $2,344.23 Typical High $3,890.45 | Professional | UE · Used equipment | $2,344.23 | $2,344.23 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $3,981.07 Median $3,981.07 Typical High $8,912.51 | Professional | None (both parts) | $3,981.07 | $3,981.07 | $8,912.51 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $398.11 Median $398.11 Typical High $1,023.29 | Professional | RR · Rental | $398.11 | $398.11 | $1,023.29 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3,019.95 Median $3,019.95 Typical High $5,370.32 | Professional | UE · Used equipment | $3,019.95 | $3,019.95 | $5,370.32 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $5,754.40 | Professional | None (both parts) | $446.68 | $446.68 | $5,754.40 |
Cigna Setting Facility Modifier RR · Rental Typical Low $112.20 Median $524.81 Typical High $741.31 | Facility | RR · Rental | $112.20 | $524.81 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None (both parts) | $2,398.83 | $2,398.83 | $2,398.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | RR · Rental | $223.87 | $223.87 | $223.87 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $549.54 Median $891.25 Typical High $1,949.84 | Facility | RR · Rental | $549.54 | $891.25 | $1,949.84 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $354.81 Median $602.56 Typical High $1,000.00 | Professional | RR · Rental | $354.81 | $602.56 | $1,000.00 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $3,090.30 Median $3,090.30 Typical High $3,311.31 | Professional | None (both parts) | $3,090.30 | $3,090.30 | $3,311.31 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $309.03 Median $331.13 Typical High $446.68 | Professional | RR · Rental | $309.03 | $331.13 | $446.68 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $331.13 Median $331.13 Typical High $870.96 | Professional | RR · Rental | $331.13 | $331.13 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $354.81 Typical High $3,311.31 | Professional | None (both parts) | $269.15 | $354.81 | $3,311.31 |
United Setting Professional Modifier RR · Rental Typical Low $177.83 Median $309.03 Typical High $354.81 | Professional | RR · Rental | $177.83 | $309.03 | $354.81 |
Univera Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | None | $3,090.30 | $3,090.30 | $3,090.30 |
Univera Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $3,090.30 Typical High $3,311.31 | Professional | None (both parts) | $1,819.70 | $3,090.30 | $3,311.31 |
Univera Setting Professional Modifier RR · Rental Typical Low $181.97 Median $331.13 Typical High $446.68 | Professional | RR · Rental | $181.97 | $331.13 | $446.68 |
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 $489.78 Median $645.65 Typical High $812.83 | Professional | 26 · Professional part | $489.78 | $645.65 | $812.83 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | KH · Purchase or 1st rental month | $446.68 | $446.68 | $446.68 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Professional | RB · Replacement part | $5,754.40 | $5,754.40 | $5,754.40 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | KH · Purchase or 1st rental month | $446.68 | $446.68 | $446.68 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $5,754.40 Median $5,754.40 Typical High $5,754.40 | Professional | RB · Replacement part | $5,754.40 | $5,754.40 | $5,754.40 |
Where New York sits
The same service costs 17.0 times more in North Dakota than in Oklahoma. 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· 17th of 51
$3,162
ND $5,623OK $331
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.