How much rates vary
Facilitymedian $1,445 · 10th to 90th $1,349 to $3,162Professionalmedian $2,042 · 10th to 90th $1,349 to $2,692
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 $1,096.48 Median $1,584.89 Typical High $2,570.40 | Facility | None | $1,096.48 | $1,584.89 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,570.40 | Professional | None | $1,584.89 | $1,584.89 | $2,570.40 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $812.83 Median $1,202.26 Typical High $1,949.84 | Professional | UE · Used equipment | $812.83 | $1,202.26 | $1,949.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,754.23 | Professional | None | $2,089.30 | $2,089.30 | $2,754.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $208.93 Median $208.93 Typical High $354.81 | Professional | RR · Rental | $208.93 | $208.93 | $354.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | UE · Used equipment | $1,584.89 | $1,584.89 | $1,584.89 |
CDPHP Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $2,951.21 | Professional | None | $229.09 | $229.09 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,348.96 Typical High $3,311.31 | Facility | None | $741.31 | $1,348.96 | $3,311.31 |
Cigna Setting Facility Modifier RR · Rental Typical Low $74.13 Median $134.90 Typical High $338.84 | Facility | RR · Rental | $74.13 | $134.90 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $1,380.38 | Professional | None | $1,148.15 | $1,348.96 | $1,380.38 |
Cigna Setting Professional Modifier RR · Rental Typical Low $114.82 Median $134.90 Typical High $134.90 | Professional | RR · Rental | $114.82 | $134.90 | $134.90 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $275.42 Median $446.68 Typical High $1,000.00 | Facility | RR · Rental | $275.42 | $446.68 | $1,000.00 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $169.82 Median $204.17 Typical High $275.42 | Professional | RR · Rental | $169.82 | $204.17 | $275.42 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,905.46 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,905.46 | $1,949.84 | $2,691.53 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $190.55 Median $194.98 Typical High $223.87 | Professional | RR · Rental | $190.55 | $194.98 | $223.87 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,412.54 Median $1,445.44 Typical High $1,548.82 | Professional | UE · Used equipment | $1,412.54 | $1,445.44 | $1,548.82 |
Highmark BCBS Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,754.23 | $2,754.23 | $2,754.23 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $162.18 Median $162.18 Typical High $309.03 | Professional | RR · Rental | $162.18 | $162.18 | $309.03 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,659.59 Typical High $2,238.72 | Professional | None | $1,047.13 | $1,659.59 | $2,238.72 |
United Setting Professional Modifier RR · Rental Typical Low $104.71 Median $165.96 Typical High $223.87 | Professional | RR · Rental | $104.71 | $165.96 | $223.87 |
United Setting Professional Modifier UE · Used equipment Typical Low $794.33 Median $1,230.27 Typical High $1,659.59 | Professional | UE · Used equipment | $794.33 | $1,230.27 | $1,659.59 |
Univera Setting Facility Modifier None Typical Low $1,905.46 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,905.46 | $1,949.84 | $1,949.84 |
Univera Setting Professional Modifier None Typical Low $1,905.46 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,905.46 | $1,949.84 | $2,691.53 |
Univera Setting Professional Modifier RR · Rental Typical Low $190.55 Median $194.98 Typical High $223.87 | Professional | RR · Rental | $190.55 | $194.98 | $223.87 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $1,412.54 Median $1,445.44 Typical High $1,548.82 | Professional | UE · Used equipment | $1,412.54 | $1,445.44 | $1,548.82 |
8 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 BP · Chose to purchase Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | BP · Chose to purchase | $2,238.72 | $2,238.72 | $2,238.72 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | KH · Purchase or 1st rental month | $223.87 | $223.87 | $223.87 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | KU · Bidding program group 3 | $2,884.03 | $2,884.03 | $2,884.03 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | RB · Replacement part | $2,884.03 | $2,884.03 | $2,884.03 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | BP · Chose to purchase | $2,238.72 | $2,238.72 | $2,238.72 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | KH · Purchase or 1st rental month | $223.87 | $223.87 | $223.87 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | KU · Bidding program group 3 | $2,884.03 | $2,884.03 | $2,884.03 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | RB · Replacement part | $2,884.03 | $2,884.03 | $2,884.03 |
Where New York sits
The same service costs 3.2 times more in North Dakota than in Mississippi. 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· 19th of 51
$1,995
ND $3,090MS $977
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.