How much rates vary
Facilitymedian $31 · 10th to 90th $23 to $78Professionalmedian $32 · 10th to 90th $23 to $42
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 $19.95 Median $29.51 Typical High $44.67 | Facility | None | $19.95 | $29.51 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $44.67 | Professional | None | $29.51 | $29.51 | $44.67 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $21.88 Median $21.88 Typical High $33.88 | Professional | UE · Used equipment | $21.88 | $21.88 | $33.88 |
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 $37.15 Median $37.15 Typical High $67.61 | Professional | None | $37.15 | $37.15 | $67.61 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.72 Median $3.72 Typical High $6.17 | Professional | RR · Rental | $3.72 | $3.72 | $6.17 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | UE · Used equipment | $28.18 | $28.18 | $28.18 |
CDPHP Setting Professional Modifier None Typical Low $4.27 Median $32.36 Typical High $42.66 | Professional | None | $4.27 | $32.36 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $30.90 Typical High $58.88 | Facility | None | $12.88 | $30.90 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $30.90 Typical High $39.81 | Professional | None | $26.30 | $30.90 | $39.81 |
Emblem Health Setting Facility Modifier None Typical Low $46.77 Median $77.62 Typical High $169.82 | Facility | None | $46.77 | $77.62 | $169.82 |
Emblem Health Setting Professional Modifier None Typical Low $28.84 Median $30.20 Typical High $46.77 | Professional | None | $28.84 | $30.20 | $46.77 |
Excellus BCBS Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Excellus BCBS Setting Professional Modifier None Typical Low $22.91 Median $30.90 Typical High $38.90 | Professional | None | $22.91 | $30.90 | $38.90 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $2.29 Median $3.09 Typical High $3.89 | Professional | RR · Rental | $2.29 | $3.09 | $3.89 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $22.91 Median $23.44 Typical High $29.51 | Professional | UE · Used equipment | $22.91 | $23.44 | $29.51 |
Highmark BCBS Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
MVP Health Care Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
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 $16.98 Median $28.84 Typical High $38.90 | Professional | None | $16.98 | $28.84 | $38.90 |
United Setting Professional Modifier RR · Rental Typical Low $1.70 Median $2.88 Typical High $3.89 | Professional | RR · Rental | $1.70 | $2.88 | $3.89 |
United Setting Professional Modifier UE · Used equipment Typical Low $12.59 Median $21.88 Typical High $28.84 | Professional | UE · Used equipment | $12.59 | $21.88 | $28.84 |
Univera Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $30.90 | Facility | None | $22.91 | $22.91 | $30.90 |
Univera Setting Professional Modifier None Typical Low $22.91 Median $30.90 Typical High $38.90 | Professional | None | $22.91 | $30.90 | $38.90 |
Univera Setting Professional Modifier RR · Rental Typical Low $2.29 Median $3.09 Typical High $3.89 | Professional | RR · Rental | $2.29 | $3.09 | $3.89 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $22.91 Median $23.44 Typical High $29.51 | Professional | UE · Used equipment | $22.91 | $23.44 | $29.51 |
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 $3.89 Median $3.89 Typical High $3.89 | Professional | KH · Purchase or 1st rental month | $3.89 | $3.89 | $3.89 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | KU · Bidding program group 3 | $44.67 | $44.67 | $44.67 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | KH · Purchase or 1st rental month | $3.89 | $3.89 | $3.89 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | KU · Bidding program group 3 | $44.67 | $44.67 | $44.67 |
Where New York sits
The same service costs 2.7 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· 39th of 51
$30.90
HI $56.23NM $20.89
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.