How much rates vary
Facilitymedian $32 · 10th to 90th $23 to $60Professionalmedian $28 · 10th to 90th $22 to $32
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 $16.22 Median $22.91 Typical High $35.48 | Facility | None | $16.22 | $22.91 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $22.91 Typical High $35.48 | Professional | None | $21.88 | $22.91 | $35.48 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $12.02 Median $16.98 Typical High $26.30 | Professional | UE · Used equipment | $12.02 | $16.98 | $26.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $72.44 | Facility | None | $36.31 | $36.31 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $53.70 | Professional | None | $28.18 | $28.18 | $53.70 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.82 Median $2.82 Typical High $5.13 | Professional | RR · Rental | $2.82 | $2.82 | $5.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | UE · Used equipment | $21.38 | $21.38 | $21.38 |
CDPHP Setting Professional Modifier None Typical Low $3.39 Median $25.12 Typical High $33.88 | Professional | None | $3.39 | $25.12 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $23.44 Typical High $44.67 | Facility | None | $10.00 | $23.44 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $23.44 Typical High $30.90 | Professional | None | $19.95 | $23.44 | $30.90 |
Emblem Health Setting Facility Modifier None Typical Low $36.31 Median $60.26 Typical High $131.83 | Facility | None | $36.31 | $60.26 | $131.83 |
Emblem Health Setting Professional Modifier None Typical Low $22.39 Median $23.44 Typical High $36.31 | Professional | None | $22.39 | $23.44 | $36.31 |
Excellus BCBS Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Excellus BCBS Setting Professional Modifier None Typical Low $24.55 Median $26.30 Typical High $32.36 | Professional | None | $24.55 | $26.30 | $32.36 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $2.51 Median $2.63 Typical High $3.24 | Professional | RR · Rental | $2.51 | $2.63 | $3.24 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $18.62 Typical High $22.91 | Professional | UE · Used equipment | $18.20 | $18.62 | $22.91 |
MVP Health Care Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
MVP Health Care Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $40.74 | Professional | None | $21.38 | $21.38 | $40.74 |
United Setting Professional Modifier None Typical Low $13.49 Median $22.39 Typical High $30.20 | Professional | None | $13.49 | $22.39 | $30.20 |
United Setting Professional Modifier RR · Rental Typical Low $1.35 Median $2.24 Typical High $3.02 | Professional | RR · Rental | $1.35 | $2.24 | $3.02 |
United Setting Professional Modifier UE · Used equipment Typical Low $10.23 Median $16.98 Typical High $22.91 | Professional | UE · Used equipment | $10.23 | $16.98 | $22.91 |
Univera Setting Facility Modifier None Typical Low $24.55 Median $32.36 Typical High $32.36 | Facility | None | $24.55 | $32.36 | $32.36 |
Univera Setting Professional Modifier None Typical Low $24.55 Median $30.90 Typical High $32.36 | Professional | None | $24.55 | $30.90 | $32.36 |
Univera Setting Professional Modifier RR · Rental Typical Low $2.51 Median $3.09 Typical High $3.24 | Professional | RR · Rental | $2.51 | $3.09 | $3.24 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $19.95 Typical High $22.91 | Professional | UE · Used equipment | $18.20 | $19.95 | $22.91 |
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 $3.09 Median $3.09 Typical High $3.09 | Professional | KH · Purchase or 1st rental month | $3.09 | $3.09 | $3.09 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | KU · Bidding program group 3 | $35.48 | $35.48 | $35.48 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | KH · Purchase or 1st rental month | $3.09 | $3.09 | $3.09 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | KU · Bidding program group 3 | $35.48 | $35.48 | $35.48 |
Where New York sits
The same service costs 2.5 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· 23rd of 51
$28.18
HI $42.66NM $16.98
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.