How much rates vary
Facilitymedian $38 · 10th to 90th $36 to $91Professionalmedian $42 · 10th to 90th $31 to $45
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 $26.30 Median $39.81 Typical High $52.48 | Facility | None | $26.30 | $39.81 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $52.48 | Professional | None | $26.30 | $26.30 | $52.48 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $19.95 Median $19.95 Typical High $38.90 | Professional | UE · Used equipment | $19.95 | $19.95 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $104.71 | Facility | None | $52.48 | $52.48 | $104.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $72.44 | Professional | None | $43.65 | $43.65 | $72.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.47 Median $4.47 Typical High $7.41 | Professional | RR · Rental | $4.47 | $4.47 | $7.41 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | UE · Used equipment | $33.11 | $33.11 | $33.11 |
CDPHP Setting Professional Modifier None Typical Low $5.50 Median $38.90 Typical High $52.48 | Professional | None | $5.50 | $38.90 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $36.31 Typical High $69.18 | Facility | None | $15.14 | $36.31 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $47.86 | Professional | None | $30.90 | $36.31 | $47.86 |
Emblem Health Setting Facility Modifier None Typical Low $52.48 Median $87.10 Typical High $190.55 | Facility | None | $52.48 | $87.10 | $190.55 |
Emblem Health Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $52.48 | Professional | None | $33.88 | $33.88 | $52.48 |
Excellus BCBS Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Excellus BCBS Setting Professional Modifier None Typical Low $38.02 Median $41.69 Typical High $44.67 | Professional | None | $38.02 | $41.69 | $44.67 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $3.80 Median $4.17 Typical High $4.68 | Professional | RR · Rental | $3.80 | $4.17 | $4.68 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $30.90 Typical High $33.88 | Professional | UE · Used equipment | $30.90 | $30.90 | $33.88 |
MVP Health Care Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
MVP Health Care Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $58.88 | Professional | None | $30.90 | $30.90 | $58.88 |
United Setting Professional Modifier None Typical Low $22.91 Median $33.88 Typical High $46.77 | Professional | None | $22.91 | $33.88 | $46.77 |
United Setting Professional Modifier RR · Rental Typical Low $2.51 Median $3.63 Typical High $5.01 | Professional | RR · Rental | $2.51 | $3.63 | $5.01 |
United Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $25.70 Typical High $34.67 | Professional | UE · Used equipment | $17.38 | $25.70 | $34.67 |
Univera Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $41.69 | Facility | None | $38.02 | $38.02 | $41.69 |
Univera Setting Professional Modifier None Typical Low $38.02 Median $41.69 Typical High $44.67 | Professional | None | $38.02 | $41.69 | $44.67 |
Univera Setting Professional Modifier RR · Rental Typical Low $3.80 Median $4.17 Typical High $4.68 | Professional | RR · Rental | $3.80 | $4.17 | $4.68 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $30.90 Typical High $33.88 | Professional | UE · Used equipment | $30.90 | $30.90 | $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 $4.68 Median $4.68 Typical High $4.68 | Professional | KH · Purchase or 1st rental month | $4.68 | $4.68 | $4.68 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $52.48 Median $53.70 Typical High $57.54 | Professional | KU · Bidding program group 3 | $52.48 | $53.70 | $57.54 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | KH · Purchase or 1st rental month | $4.68 | $4.68 | $4.68 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $52.48 Median $53.70 Typical High $57.54 | Professional | KU · Bidding program group 3 | $52.48 | $53.70 | $57.54 |
Where New York sits
The same service costs 2.5 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· 27th of 51
$41.69
KS $64.57NM $25.70
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.