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 $436.52 Median $575.44 Typical High $851.14 | Facility | None | $436.52 | $575.44 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $851.14 | Professional | None | $575.44 | $575.44 | $851.14 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $323.59 Median $436.52 Typical High $630.96 | Professional | UE · Used equipment | $323.59 | $436.52 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $1,659.59 | Facility | None | $831.76 | $831.76 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,318.26 | Professional | None | $691.83 | $691.83 | $1,318.26 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $69.18 Median $69.18 Typical High $125.89 | Professional | RR · Rental | $69.18 | $69.18 | $125.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | UE · Used equipment | $524.81 | $524.81 | $524.81 |
CDPHP Setting Professional Modifier None Typical Low $87.10 Median $645.65 Typical High $870.96 | Professional | None | $87.10 | $645.65 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $575.44 Typical High $1,122.02 | Facility | None | $251.19 | $575.44 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $575.44 Typical High $758.58 | Professional | None | $489.78 | $575.44 | $758.58 |
Emblem Health Setting Facility Modifier None Typical Low $831.76 Median $1,348.96 Typical High $2,951.21 | Facility | None | $831.76 | $1,348.96 | $2,951.21 |
Emblem Health Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $831.76 | Professional | None | $537.03 | $537.03 | $831.76 |
Excellus BCBS Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Excellus BCBS Setting Professional Modifier None Typical Low $660.69 Median $707.95 Typical High $724.44 | Professional | None | $660.69 | $707.95 | $724.44 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $66.07 Median $70.79 Typical High $72.44 | Professional | RR · Rental | $66.07 | $70.79 | $72.44 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $489.78 Median $501.19 Typical High $549.54 | Professional | UE · Used equipment | $489.78 | $501.19 | $549.54 |
MVP Health Care Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
MVP Health Care Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $933.25 | Professional | None | $478.63 | $478.63 | $933.25 |
United Setting Professional Modifier None Typical Low $363.08 Median $588.84 Typical High $758.58 | Professional | None | $363.08 | $588.84 | $758.58 |
United Setting Professional Modifier RR · Rental Typical Low $36.31 Median $58.88 Typical High $75.86 | Professional | RR · Rental | $36.31 | $58.88 | $75.86 |
United Setting Professional Modifier UE · Used equipment Typical Low $269.15 Median $436.52 Typical High $562.34 | Professional | UE · Used equipment | $269.15 | $436.52 | $562.34 |
Univera Setting Facility Modifier None Typical Low $645.65 Median $724.44 Typical High $724.44 | Facility | None | $645.65 | $724.44 | $724.44 |
Univera Setting Professional Modifier None Typical Low $660.69 Median $724.44 Typical High $724.44 | Professional | None | $660.69 | $724.44 | $724.44 |
Univera Setting Professional Modifier RR · Rental Typical Low $66.07 Median $72.44 Typical High $72.44 | Professional | RR · Rental | $66.07 | $72.44 | $72.44 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $489.78 Median $524.81 Typical High $549.54 | Professional | UE · Used equipment | $489.78 | $524.81 | $549.54 |
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 $72.44 Median $72.44 Typical High $72.44 | Professional | KH · Purchase or 1st rental month | $72.44 | $72.44 | $72.44 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | KU · Bidding program group 3 | $954.99 | $954.99 | $954.99 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | KH · Purchase or 1st rental month | $72.44 | $72.44 | $72.44 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | KU · Bidding program group 3 | $954.99 | $954.99 | $954.99 |
Where New York sits
The same service costs 2.6 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· 26th of 51
$692
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.