How much rates vary
Facilitymedian $155 · 10th to 90th $115 to $282Professionalmedian $132 · 10th to 90th $102 to $155
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 $81.28 Median $112.20 Typical High $162.18 | Facility | None | $81.28 | $112.20 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $112.20 Typical High $162.18 | Professional | None | $64.57 | $112.20 | $162.18 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $85.11 Typical High $120.23 | Professional | UE · Used equipment | $47.86 | $85.11 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $316.23 | Facility | None | $158.49 | $158.49 | $316.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $251.19 | Professional | None | $131.83 | $131.83 | $251.19 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $13.18 Median $13.18 Typical High $23.99 | Professional | RR · Rental | $13.18 | $13.18 | $23.99 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | UE · Used equipment | $100.00 | $100.00 | $100.00 |
CDPHP Setting Professional Modifier None Typical Low $16.22 Median $123.03 Typical High $162.18 | Professional | None | $16.22 | $123.03 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $114.82 Typical High $213.80 | Facility | None | $47.86 | $114.82 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $144.54 | Professional | None | $97.72 | $114.82 | $144.54 |
Emblem Health Setting Facility Modifier None Typical Low $158.49 Median $263.03 Typical High $575.44 | Facility | None | $158.49 | $263.03 | $575.44 |
Emblem Health Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $158.49 | Professional | None | $102.33 | $102.33 | $158.49 |
Excellus BCBS Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Excellus BCBS Setting Professional Modifier None Typical Low $131.83 Median $138.04 Typical High $154.88 | Professional | None | $131.83 | $138.04 | $154.88 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $13.18 Median $14.13 Typical High $15.49 | Professional | RR · Rental | $13.18 | $14.13 | $15.49 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $97.72 Median $97.72 Typical High $104.71 | Professional | UE · Used equipment | $97.72 | $97.72 | $104.71 |
Highmark BCBS Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
MVP Health Care Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
MVP Health Care Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $177.83 | Professional | None | $93.33 | $93.33 | $177.83 |
United Setting Professional Modifier None Typical Low $69.18 Median $109.65 Typical High $147.91 | Professional | None | $69.18 | $109.65 | $147.91 |
United Setting Professional Modifier RR · Rental Typical Low $6.92 Median $10.96 Typical High $14.79 | Professional | RR · Rental | $6.92 | $10.96 | $14.79 |
United Setting Professional Modifier UE · Used equipment Typical Low $51.29 Median $83.18 Typical High $109.65 | Professional | UE · Used equipment | $51.29 | $83.18 | $109.65 |
Univera Setting Facility Modifier None Typical Low $131.83 Median $154.88 Typical High $162.18 | Facility | None | $131.83 | $154.88 | $162.18 |
Univera Setting Professional Modifier None Typical Low $131.83 Median $141.25 Typical High $154.88 | Professional | None | $131.83 | $141.25 | $154.88 |
Univera Setting Professional Modifier RR · Rental Typical Low $13.18 Median $14.13 Typical High $15.49 | Professional | RR · Rental | $13.18 | $14.13 | $15.49 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $97.72 Median $97.72 Typical High $104.71 | Professional | UE · Used equipment | $97.72 | $97.72 | $104.71 |
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 $14.13 Median $14.13 Typical High $14.13 | Professional | KH · Purchase or 1st rental month | $14.13 | $14.13 | $14.13 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | KU · Bidding program group 3 | $177.83 | $177.83 | $177.83 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | KH · Purchase or 1st rental month | $14.13 | $14.13 | $14.13 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | KU · Bidding program group 3 | $177.83 | $177.83 | $177.83 |
Where New York sits
The same service costs 2.6 times more in Hawaii than in Illinois. 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· 15th of 51
$132
HI $214IL $83.18
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.