How much rates vary
Facilitymedian $44 · 10th to 90th $35 to $91Professionalmedian $44 · 10th to 90th $33 to $48
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 $22.91 Median $33.88 Typical High $52.48 | Facility | None | $22.91 | $33.88 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $52.48 | Professional | None | $33.88 | $33.88 | $52.48 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $25.70 Median $25.70 Typical High $38.90 | Professional | UE · Used equipment | $25.70 | $25.70 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $109.65 | Facility | None | $54.95 | $54.95 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $79.43 | Professional | None | $43.65 | $43.65 | $79.43 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.37 Median $4.37 Typical High $7.24 | Professional | RR · Rental | $4.37 | $4.37 | $7.24 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | UE · Used equipment | $32.36 | $32.36 | $32.36 |
CDPHP Setting Professional Modifier None Typical Low $5.01 Median $37.15 Typical High $50.12 | Professional | None | $5.01 | $37.15 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $35.48 Typical High $67.61 | Facility | None | $15.14 | $35.48 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $35.48 Typical High $46.77 | Professional | None | $30.20 | $35.48 | $46.77 |
Emblem Health Setting Facility Modifier None Typical Low $54.95 Median $89.13 Typical High $194.98 | Facility | None | $54.95 | $89.13 | $194.98 |
Emblem Health Setting Professional Modifier None Typical Low $33.88 Median $35.48 Typical High $54.95 | Professional | None | $33.88 | $35.48 | $54.95 |
Excellus BCBS Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Excellus BCBS Setting Professional Modifier None Typical Low $35.48 Median $38.02 Typical High $45.71 | Professional | None | $35.48 | $38.02 | $45.71 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $3.55 Median $3.80 Typical High $4.57 | Professional | RR · Rental | $3.55 | $3.80 | $4.57 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $26.30 Median $26.30 Typical High $33.88 | Professional | UE · Used equipment | $26.30 | $26.30 | $33.88 |
MVP Health Care Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
MVP Health Care Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $61.66 | Professional | None | $31.62 | $31.62 | $61.66 |
United Setting Professional Modifier None Typical Low $19.50 Median $33.11 Typical High $44.67 | Professional | None | $19.50 | $33.11 | $44.67 |
United Setting Professional Modifier RR · Rental Typical Low $1.95 Median $3.31 Typical High $4.47 | Professional | RR · Rental | $1.95 | $3.31 | $4.47 |
United Setting Professional Modifier UE · Used equipment Typical Low $14.45 Median $24.55 Typical High $33.88 | Professional | UE · Used equipment | $14.45 | $24.55 | $33.88 |
Univera Setting Facility Modifier None Typical Low $34.67 Median $43.65 Typical High $43.65 | Facility | None | $34.67 | $43.65 | $43.65 |
Univera Setting Professional Modifier None Typical Low $35.48 Median $43.65 Typical High $45.71 | Professional | None | $35.48 | $43.65 | $45.71 |
Univera Setting Professional Modifier RR · Rental Typical Low $3.55 Median $4.37 Typical High $4.57 | Professional | RR · Rental | $3.55 | $4.37 | $4.57 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $26.30 Median $28.18 Typical High $33.88 | Professional | UE · Used equipment | $26.30 | $28.18 | $33.88 |
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 $4.57 Median $4.57 Typical High $4.57 | Professional | KH · Purchase or 1st rental month | $4.57 | $4.57 | $4.57 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | KU · Bidding program group 3 | $50.12 | $50.12 | $50.12 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | KH · Purchase or 1st rental month | $4.57 | $4.57 | $4.57 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | KU · Bidding program group 3 | $50.12 | $50.12 | $50.12 |
Where New York sits
The same service costs 2.7 times more in Kansas than in New Mexico. 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· 20th of 51
$43.65
KS $64.57NM $23.99
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.