How much rates vary
Facilitymedian $28 · 10th to 90th $15 to $71Professionalmedian $30 · 10th to 90th $15 to $37
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 $21.88 Median $26.92 Typical High $41.69 | Facility | None | $21.88 | $26.92 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $26.92 Typical High $41.69 | Professional | None | $16.22 | $26.92 | $41.69 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $11.48 Median $20.42 Typical High $30.90 | Professional | UE · Used equipment | $11.48 | $20.42 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $83.18 | Facility | None | $41.69 | $41.69 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $61.66 | Professional | None | $32.36 | $32.36 | $61.66 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.24 Median $3.24 Typical High $6.03 | Professional | RR · Rental | $3.24 | $3.24 | $6.03 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | UE · Used equipment | $24.55 | $24.55 | $24.55 |
CDPHP Setting Professional Modifier None Typical Low $3.98 Median $30.20 Typical High $39.81 | Professional | None | $3.98 | $30.20 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $28.18 Typical High $53.70 | Facility | None | $12.02 | $28.18 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $28.18 Typical High $37.15 | Professional | None | $23.99 | $28.18 | $37.15 |
Emblem Health Setting Facility Modifier None Typical Low $41.69 Median $67.61 Typical High $147.91 | Facility | None | $41.69 | $67.61 | $147.91 |
Emblem Health Setting Professional Modifier None Typical Low $26.30 Median $26.92 Typical High $41.69 | Professional | None | $26.30 | $26.92 | $41.69 |
Excellus BCBS Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Excellus BCBS Setting Professional Modifier None Typical Low $15.14 Median $30.20 Typical High $35.48 | Professional | None | $15.14 | $30.20 | $35.48 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $1.51 Median $3.02 Typical High $3.55 | Professional | RR · Rental | $1.51 | $3.02 | $3.55 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $22.39 Median $22.91 Typical High $26.92 | Professional | UE · Used equipment | $22.39 | $22.91 | $26.92 |
Highmark BCBS Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
MVP Health Care Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
MVP Health Care Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $46.77 | Professional | None | $23.99 | $23.99 | $46.77 |
United Setting Professional Modifier None Typical Low $18.20 Median $26.30 Typical High $35.48 | Professional | None | $18.20 | $26.30 | $35.48 |
United Setting Professional Modifier RR · Rental Typical Low $1.78 Median $2.57 Typical High $3.55 | Professional | RR · Rental | $1.78 | $2.57 | $3.55 |
United Setting Professional Modifier UE · Used equipment Typical Low $13.18 Median $19.50 Typical High $26.30 | Professional | UE · Used equipment | $13.18 | $19.50 | $26.30 |
Univera Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $30.20 | Facility | None | $15.14 | $15.14 | $30.20 |
Univera Setting Professional Modifier None Typical Low $15.14 Median $30.20 Typical High $35.48 | Professional | None | $15.14 | $30.20 | $35.48 |
Univera Setting Professional Modifier RR · Rental Typical Low $1.51 Median $3.02 Typical High $3.55 | Professional | RR · Rental | $1.51 | $3.02 | $3.55 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $22.39 Median $22.91 Typical High $26.92 | Professional | UE · Used equipment | $22.39 | $22.91 | $26.92 |
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 $3.55 Median $3.55 Typical High $3.55 | Professional | KH · Purchase or 1st rental month | $3.55 | $3.55 | $3.55 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | KU · Bidding program group 3 | $43.65 | $43.65 | $43.65 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | KH · Purchase or 1st rental month | $3.55 | $3.55 | $3.55 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | KU · Bidding program group 3 | $43.65 | $43.65 | $43.65 |
Where New York sits
The same service costs 7.1 times more in Hawaii 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· 31st of 51
$30.20
HI $145NM $20.42
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.