How much rates vary
Facilitymedian $1,950 · 10th to 90th $1,413 to $2,344Professionalmedian $1,950 · 10th to 90th $1,445 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 $1,023.29 Median $1,584.89 Typical High $2,630.27 | Facility | None | $1,023.29 | $1,584.89 | $2,630.27 |
Aetna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $2,630.27 | Professional | None | $1,584.89 | $1,584.89 | $2,630.27 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,202.26 Median $1,202.26 Typical High $1,949.84 | Professional | UE · Used equipment | $1,202.26 | $1,202.26 | $1,949.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,691.53 | Professional | None | $2,089.30 | $2,089.30 | $2,691.53 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $208.93 Median $208.93 Typical High $371.54 | Professional | RR · Rental | $208.93 | $208.93 | $371.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | UE · Used equipment | $1,548.82 | $1,548.82 | $1,548.82 |
CDPHP Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $2,951.21 | Professional | None | $223.87 | $223.87 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $1,412.54 Typical High $2,884.03 | Facility | None | $213.80 | $1,412.54 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $1,412.54 Typical High $1,412.54 | Professional | None | $213.80 | $1,412.54 | $1,412.54 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $275.42 Median $457.09 Typical High $1,000.00 | Facility | RR · Rental | $275.42 | $457.09 | $1,000.00 |
Emblem Health Setting Professional Modifier None Typical Low $1,584.89 Median $1,819.70 Typical High $1,949.84 | Professional | None | $1,584.89 | $1,819.70 | $1,949.84 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,584.89 Median $1,698.24 Typical High $2,691.53 | Professional | None | $1,584.89 | $1,698.24 | $2,691.53 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $158.49 Median $169.82 Typical High $223.87 | Professional | RR · Rental | $158.49 | $169.82 | $223.87 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,174.90 Median $1,174.90 Typical High $1,258.93 | Professional | UE · Used equipment | $1,174.90 | $1,174.90 | $1,258.93 |
Highmark BCBS Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | None | $2,344.23 | $2,344.23 | $2,344.23 |
MVP Health Care Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Facility | None | $4,168.69 | $4,168.69 | $4,168.69 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $165.96 Median $165.96 Typical High $309.03 | Professional | RR · Rental | $165.96 | $165.96 | $309.03 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,698.24 Typical High $2,238.72 | Professional | None | $1,148.15 | $1,698.24 | $2,238.72 |
United Setting Professional Modifier RR · Rental Typical Low $114.82 Median $169.82 Typical High $223.87 | Professional | RR · Rental | $114.82 | $169.82 | $223.87 |
United Setting Professional Modifier UE · Used equipment Typical Low $851.14 Median $1,258.93 Typical High $1,698.24 | Professional | UE · Used equipment | $851.14 | $1,258.93 | $1,698.24 |
Univera Setting Facility Modifier None Typical Low $1,584.89 Median $1,949.84 Typical High $2,041.74 | Facility | None | $1,584.89 | $1,949.84 | $2,041.74 |
Univera Setting Professional Modifier None Typical Low $1,584.89 Median $1,949.84 Typical High $2,691.53 | Professional | None | $1,584.89 | $1,949.84 | $2,691.53 |
Univera Setting Professional Modifier RR · Rental Typical Low $158.49 Median $194.98 Typical High $223.87 | Professional | RR · Rental | $158.49 | $194.98 | $223.87 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $1,174.90 Median $1,174.90 Typical High $1,949.84 | Professional | UE · Used equipment | $1,174.90 | $1,174.90 | $1,949.84 |
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 KC · Wheelchair interface replaced Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | KC · Wheelchair interface replaced | $3,467.37 | $3,467.37 | $3,467.37 |
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 RB · Replacement part Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | RB · Replacement part | $2,951.21 | $2,951.21 | $2,951.21 |
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 KC · Wheelchair interface replaced Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | KC · Wheelchair interface replaced | $3,467.37 | $3,467.37 | $3,467.37 |
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 RB · Replacement part Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | RB · Replacement part | $2,951.21 | $2,951.21 | $2,951.21 |
Where New York sits
The same service costs 8.5 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· 18th of 51
$1,950
ND $3,236MS $380
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.