How much rates vary
Facilitymedian $21 · 10th to 90th $17 to $45Professionalmedian $21 · 10th to 90th $16 to $23
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 $11.22 Median $16.60 Typical High $25.12 | Facility | None | $11.22 | $16.60 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $25.12 | Professional | None | $16.60 | $16.60 | $25.12 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $12.30 Median $12.30 Typical High $19.05 | Professional | UE · Used equipment | $12.30 | $12.30 | $19.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $52.48 | Facility | None | $26.30 | $26.30 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $38.02 | Professional | None | $20.89 | $20.89 | $38.02 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.09 Median $2.09 Typical High $3.72 | Professional | RR · Rental | $2.09 | $2.09 | $3.72 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | UE · Used equipment | $15.85 | $15.85 | $15.85 |
CDPHP Setting Professional Modifier None Typical Low $2.40 Median $18.20 Typical High $23.99 | Professional | None | $2.40 | $18.20 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $17.38 Typical High $33.11 | Facility | None | $7.41 | $17.38 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $17.38 Typical High $18.62 | Professional | None | $14.79 | $17.38 | $18.62 |
Emblem Health Setting Facility Modifier None Typical Low $26.30 Median $42.66 Typical High $93.33 | Facility | None | $26.30 | $42.66 | $93.33 |
Emblem Health Setting Professional Modifier None Typical Low $16.22 Median $16.98 Typical High $26.30 | Professional | None | $16.22 | $16.98 | $26.30 |
Excellus BCBS Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Excellus BCBS Setting Professional Modifier None Typical Low $17.38 Median $18.20 Typical High $21.88 | Professional | None | $17.38 | $18.20 | $21.88 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $1.70 Median $1.82 Typical High $2.19 | Professional | RR · Rental | $1.70 | $1.82 | $2.19 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.59 Median $12.88 Typical High $16.22 | Professional | UE · Used equipment | $12.59 | $12.88 | $16.22 |
MVP Health Care Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
MVP Health Care Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $29.51 | Professional | None | $15.14 | $15.14 | $29.51 |
United Setting Professional Modifier None Typical Low $9.33 Median $16.22 Typical High $21.88 | Professional | None | $9.33 | $16.22 | $21.88 |
United Setting Professional Modifier RR · Rental Typical Low $0.93 Median $1.62 Typical High $2.14 | Professional | RR · Rental | $0.93 | $1.62 | $2.14 |
United Setting Professional Modifier UE · Used equipment Typical Low $7.08 Median $12.30 Typical High $16.22 | Professional | UE · Used equipment | $7.08 | $12.30 | $16.22 |
Univera Setting Facility Modifier None Typical Low $16.98 Median $21.38 Typical High $21.38 | Facility | None | $16.98 | $21.38 | $21.38 |
Univera Setting Professional Modifier None Typical Low $17.38 Median $21.38 Typical High $21.88 | Professional | None | $17.38 | $21.38 | $21.88 |
Univera Setting Professional Modifier RR · Rental Typical Low $1.70 Median $2.14 Typical High $2.19 | Professional | RR · Rental | $1.70 | $2.14 | $2.19 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $12.59 Median $13.80 Typical High $16.22 | Professional | UE · Used equipment | $12.59 | $13.80 | $16.22 |
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 $2.19 Median $2.19 Typical High $2.19 | Professional | KH · Purchase or 1st rental month | $2.19 | $2.19 | $2.19 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | KU · Bidding program group 3 | $24.55 | $24.55 | $24.55 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | KH · Purchase or 1st rental month | $2.19 | $2.19 | $2.19 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | KU · Bidding program group 3 | $24.55 | $24.55 | $24.55 |
Where New York sits
The same service costs 3.1 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· 16th of 51
$20.89
KS $36.31NM $11.75
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.