How much rates vary
Facilitymedian $87 · 10th to 90th $71 to $186Professionalmedian $87 · 10th to 90th $65 to $95
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 $52.48 Median $67.61 Typical High $104.71 | Facility | None | $52.48 | $67.61 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $104.71 | Professional | None | $67.61 | $67.61 | $104.71 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $51.29 Median $51.29 Typical High $79.43 | Professional | UE · Used equipment | $51.29 | $51.29 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $218.78 | Facility | None | $109.65 | $109.65 | $218.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $158.49 | Professional | None | $89.13 | $89.13 | $158.49 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $8.91 Median $8.91 Typical High $15.14 | Professional | RR · Rental | $8.91 | $8.91 | $15.14 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | UE · Used equipment | $67.61 | $67.61 | $67.61 |
CDPHP Setting Professional Modifier None Typical Low $10.00 Median $74.13 Typical High $100.00 | Professional | None | $10.00 | $74.13 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $72.44 Typical High $141.25 | Facility | None | $31.62 | $72.44 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $95.50 | Professional | None | $61.66 | $72.44 | $95.50 |
Emblem Health Setting Facility Modifier None Typical Low $109.65 Median $181.97 Typical High $398.11 | Facility | None | $109.65 | $181.97 | $398.11 |
Emblem Health Setting Professional Modifier None Typical Low $67.61 Median $70.79 Typical High $109.65 | Professional | None | $67.61 | $70.79 | $109.65 |
Excellus BCBS Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Excellus BCBS Setting Professional Modifier None Typical Low $70.79 Median $74.13 Typical High $91.20 | Professional | None | $70.79 | $74.13 | $91.20 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $7.08 Median $7.59 Typical High $9.12 | Professional | RR · Rental | $7.08 | $7.59 | $9.12 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $51.29 Median $52.48 Typical High $67.61 | Professional | UE · Used equipment | $51.29 | $52.48 | $67.61 |
MVP Health Care Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
MVP Health Care Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $123.03 | Professional | None | $64.57 | $64.57 | $123.03 |
United Setting Professional Modifier None Typical Low $43.65 Median $67.61 Typical High $91.20 | Professional | None | $43.65 | $67.61 | $91.20 |
United Setting Professional Modifier RR · Rental Typical Low $4.57 Median $6.76 Typical High $9.12 | Professional | RR · Rental | $4.57 | $6.76 | $9.12 |
United Setting Professional Modifier UE · Used equipment Typical Low $33.11 Median $48.98 Typical High $67.61 | Professional | UE · Used equipment | $33.11 | $48.98 | $67.61 |
Univera Setting Facility Modifier None Typical Low $69.18 Median $87.10 Typical High $87.10 | Facility | None | $69.18 | $87.10 | $87.10 |
Univera Setting Professional Modifier None Typical Low $70.79 Median $87.10 Typical High $91.20 | Professional | None | $70.79 | $87.10 | $91.20 |
Univera Setting Professional Modifier RR · Rental Typical Low $7.08 Median $8.71 Typical High $9.12 | Professional | RR · Rental | $7.08 | $8.71 | $9.12 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $51.29 Median $56.23 Typical High $67.61 | Professional | UE · Used equipment | $51.29 | $56.23 | $67.61 |
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 $9.12 Median $9.12 Typical High $9.12 | Professional | KH · Purchase or 1st rental month | $9.12 | $9.12 | $9.12 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | KU · Bidding program group 3 | $100.00 | $100.00 | $100.00 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | KH · Purchase or 1st rental month | $9.12 | $9.12 | $9.12 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | KU · Bidding program group 3 | $100.00 | $100.00 | $100.00 |
Where New York sits
The same service costs 2.6 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· 23rd of 51
$87.10
KS $135NM $51.29
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.