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 $257.04 Median $338.84 Typical High $489.78 | Facility | None | $257.04 | $338.84 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $489.78 | Professional | None | $338.84 | $338.84 | $489.78 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $190.55 Median $257.04 Typical High $371.54 | Professional | UE · Used equipment | $190.55 | $257.04 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $954.99 | Facility | None | $478.63 | $478.63 | $954.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $776.25 | Professional | None | $398.11 | $398.11 | $776.25 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $39.81 Median $39.81 Typical High $72.44 | Professional | RR · Rental | $39.81 | $39.81 | $72.44 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | UE · Used equipment | $302.00 | $302.00 | $302.00 |
CDPHP Setting Professional Modifier None Typical Low $50.12 Median $380.19 Typical High $501.19 | Professional | None | $50.12 | $380.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $331.13 Typical High $660.69 | Facility | None | $144.54 | $331.13 | $660.69 |
Cigna Setting Facility Modifier RR · Rental Typical Low $14.45 Median $33.11 Typical High $64.57 | Facility | RR · Rental | $14.45 | $33.11 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $436.52 | Professional | None | $281.84 | $331.13 | $436.52 |
Cigna Setting Professional Modifier RR · Rental Typical Low $28.18 Median $33.11 Typical High $43.65 | Professional | RR · Rental | $28.18 | $33.11 | $43.65 |
Emblem Health Setting Facility Modifier None Typical Low $478.63 Median $794.33 Typical High $1,737.80 | Facility | None | $478.63 | $794.33 | $1,737.80 |
Emblem Health Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $478.63 | Professional | None | $309.03 | $309.03 | $478.63 |
Excellus BCBS Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Excellus BCBS Setting Professional Modifier None Typical Low $389.05 Median $416.87 Typical High $426.58 | Professional | None | $389.05 | $416.87 | $426.58 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $38.90 Median $41.69 Typical High $42.66 | Professional | RR · Rental | $38.90 | $41.69 | $42.66 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $295.12 Typical High $316.23 | Professional | UE · Used equipment | $288.40 | $295.12 | $316.23 |
MVP Health Care Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
MVP Health Care Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $537.03 | Professional | None | $281.84 | $281.84 | $537.03 |
United Setting Professional Modifier None Typical Low $213.80 Median $338.84 Typical High $436.52 | Professional | None | $213.80 | $338.84 | $436.52 |
United Setting Professional Modifier RR · Rental Typical Low $21.38 Median $33.88 Typical High $43.65 | Professional | RR · Rental | $21.38 | $33.88 | $43.65 |
United Setting Professional Modifier UE · Used equipment Typical Low $162.18 Median $251.19 Typical High $331.13 | Professional | UE · Used equipment | $162.18 | $251.19 | $331.13 |
Univera Setting Facility Modifier None Typical Low $380.19 Median $426.58 Typical High $426.58 | Facility | None | $380.19 | $426.58 | $426.58 |
Univera Setting Professional Modifier None Typical Low $389.05 Median $426.58 Typical High $426.58 | Professional | None | $389.05 | $426.58 | $426.58 |
Univera Setting Professional Modifier RR · Rental Typical Low $38.90 Median $42.66 Typical High $42.66 | Professional | RR · Rental | $38.90 | $42.66 | $42.66 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $309.03 Typical High $316.23 | Professional | UE · Used equipment | $288.40 | $309.03 | $316.23 |
4 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 |
|---|---|---|---|---|---|
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | KH · Purchase or 1st rental month | $42.66 | $42.66 | $42.66 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | KU · Bidding program group 3 | $562.34 | $562.34 | $562.34 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | KH · Purchase or 1st rental month | $42.66 | $42.66 | $42.66 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | KU · Bidding program group 3 | $562.34 | $562.34 | $562.34 |
Where New York sits
The same service costs 2.8 times more in Hawaii than in Illinois. 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
$398
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.