How much rates vary
Facilitymedian $6 · 10th to 90th $5 to $12Professionalmedian $6 · 10th to 90th $4 to $6
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 $3.09 Median $4.68 Typical High $7.08 | Facility | None | $3.09 | $4.68 | $7.08 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $7.08 | Professional | None | $4.68 | $4.68 | $7.08 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $3.55 Median $3.55 Typical High $5.25 | Professional | UE · Used equipment | $3.55 | $3.55 | $5.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $14.45 | Facility | None | $7.24 | $7.24 | $14.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $10.47 | Professional | None | $5.89 | $5.89 | $10.47 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.60 Median $0.60 Typical High $1.00 | Professional | RR · Rental | $0.60 | $0.60 | $1.00 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | UE · Used equipment | $4.47 | $4.47 | $4.47 |
CDPHP Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $6.76 | Professional | None | $5.13 | $5.13 | $6.76 |
Cigna Setting Facility Modifier None Typical Low $2.04 Median $4.79 Typical High $9.33 | Facility | None | $2.04 | $4.79 | $9.33 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $4.79 Typical High $6.31 | Professional | None | $4.07 | $4.79 | $6.31 |
Emblem Health Setting Facility Modifier None Typical Low $7.24 Median $12.02 Typical High $26.30 | Facility | None | $7.24 | $12.02 | $26.30 |
Emblem Health Setting Professional Modifier None Typical Low $4.57 Median $4.79 Typical High $7.24 | Professional | None | $4.57 | $4.79 | $7.24 |
Excellus BCBS Setting Facility Modifier None Typical Low $5.62 Median $5.62 Typical High $5.62 | Facility | None | $5.62 | $5.62 | $5.62 |
Excellus BCBS Setting Professional Modifier None Typical Low $4.79 Median $5.13 Typical High $6.03 | Professional | None | $4.79 | $5.13 | $6.03 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $0.50 Median $0.52 Typical High $0.62 | Professional | RR · Rental | $0.50 | $0.52 | $0.62 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $3.55 Median $3.63 Typical High $4.57 | Professional | UE · Used equipment | $3.55 | $3.63 | $4.57 |
MVP Health Care Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
MVP Health Care Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $8.13 | Professional | None | $4.27 | $4.27 | $8.13 |
United Setting Professional Modifier None Typical Low $2.63 Median $4.47 Typical High $6.03 | Professional | None | $2.63 | $4.47 | $6.03 |
United Setting Professional Modifier RR · Rental Typical Low $0.27 Median $0.47 Typical High $0.62 | Professional | RR · Rental | $0.27 | $0.47 | $0.62 |
United Setting Professional Modifier UE · Used equipment Typical Low $1.95 Median $3.39 Typical High $4.57 | Professional | UE · Used equipment | $1.95 | $3.39 | $4.57 |
Univera Setting Facility Modifier None Typical Low $4.79 Median $5.62 Typical High $5.62 | Facility | None | $4.79 | $5.62 | $5.62 |
Univera Setting Professional Modifier None Typical Low $4.79 Median $5.62 Typical High $6.03 | Professional | None | $4.79 | $5.62 | $6.03 |
Univera Setting Professional Modifier RR · Rental Typical Low $0.50 Median $0.56 Typical High $0.62 | Professional | RR · Rental | $0.50 | $0.56 | $0.62 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $3.55 Median $3.80 Typical High $4.57 | Professional | UE · Used equipment | $3.55 | $3.80 | $4.57 |
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 $0.62 Median $0.62 Typical High $0.62 | Professional | KH · Purchase or 1st rental month | $0.62 | $0.62 | $0.62 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | KU · Bidding program group 3 | $6.76 | $6.76 | $6.76 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $0.62 Median $0.62 Typical High $0.62 | Professional | KH · Purchase or 1st rental month | $0.62 | $0.62 | $0.62 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | KU · Bidding program group 3 | $6.76 | $6.76 | $6.76 |
Where New York sits
The same service costs 7.9 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· 26th of 51
$5.62
KS $27.54NM $3.47
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.