How much rates vary
Facilitymedian $47 · 10th to 90th $32 to $98Professionalmedian $39 · 10th to 90th $29 to $51
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 $46.77 Median $53.70 Typical High $100.00 | Facility | None | $46.77 | $53.70 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $100.00 Typical High $100.00 | Professional | None | $46.77 | $100.00 | $100.00 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $34.67 Median $38.90 Typical High $38.90 | Professional | UE · Used equipment | $34.67 | $38.90 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $93.33 | Facility | None | $46.77 | $46.77 | $93.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $67.61 | Professional | None | $38.90 | $38.90 | $67.61 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.89 Median $3.89 Typical High $7.41 | Professional | RR · Rental | $3.89 | $3.89 | $7.41 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | UE · Used equipment | $29.51 | $29.51 | $29.51 |
CDPHP Setting Professional Modifier None Typical Low $4.90 Median $34.67 Typical High $45.71 | Professional | None | $4.90 | $34.67 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $31.62 Typical High $60.26 | Facility | None | $13.49 | $31.62 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $31.62 Typical High $39.81 | Professional | None | $26.92 | $31.62 | $39.81 |
Emblem Health Setting Facility Modifier None Typical Low $46.77 Median $75.86 Typical High $165.96 | Facility | None | $46.77 | $75.86 | $165.96 |
Emblem Health Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $46.77 | Professional | None | $30.20 | $30.20 | $46.77 |
Excellus BCBS Setting Professional Modifier None Typical Low $36.31 Median $37.15 Typical High $39.81 | Professional | None | $36.31 | $37.15 | $39.81 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $3.63 Median $3.72 Typical High $4.17 | Professional | RR · Rental | $3.63 | $3.72 | $4.17 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $26.92 Median $27.54 Typical High $30.20 | Professional | UE · Used equipment | $26.92 | $27.54 | $30.20 |
MVP Health Care Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $52.48 | Professional | None | $27.54 | $27.54 | $52.48 |
United Setting Professional Modifier None Typical Low $20.42 Median $30.20 Typical High $40.74 | Professional | None | $20.42 | $30.20 | $40.74 |
United Setting Professional Modifier RR · Rental Typical Low $2.24 Median $3.16 Typical High $4.37 | Professional | RR · Rental | $2.24 | $3.16 | $4.37 |
United Setting Professional Modifier UE · Used equipment Typical Low $15.49 Median $22.39 Typical High $30.90 | Professional | UE · Used equipment | $15.49 | $22.39 | $30.90 |
Univera Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Univera Setting Professional Modifier None Typical Low $36.31 Median $37.15 Typical High $39.81 | Professional | None | $36.31 | $37.15 | $39.81 |
Univera Setting Professional Modifier RR · Rental Typical Low $3.63 Median $3.72 Typical High $4.17 | Professional | RR · Rental | $3.63 | $3.72 | $4.17 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $26.92 Median $27.54 Typical High $30.20 | Professional | UE · Used equipment | $26.92 | $27.54 | $30.20 |
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 $4.17 Median $4.17 Typical High $4.17 | Professional | KH · Purchase or 1st rental month | $4.17 | $4.17 | $4.17 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $46.77 Median $47.86 Typical High $50.12 | Professional | KU · Bidding program group 3 | $46.77 | $47.86 | $50.12 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | KH · Purchase or 1st rental month | $4.17 | $4.17 | $4.17 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $46.77 Median $47.86 Typical High $50.12 | Professional | KU · Bidding program group 3 | $46.77 | $47.86 | $50.12 |
Where New York sits
The same service costs 2.9 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· 21st of 51
$38.90
KS $66.07NM $22.91
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.