How much rates vary
Facilitymedian $309 · 10th to 90th $209 to $372Professionalmedian $309 · 10th to 90th $214 to $427
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 $162.18 Median $251.19 Typical High $416.87 | Facility | None | $162.18 | $251.19 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $251.19 Typical High $416.87 | Professional | None | $131.83 | $251.19 | $416.87 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $95.50 Median $190.55 Typical High $309.03 | Professional | UE · Used equipment | $95.50 | $190.55 | $309.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $426.58 | Professional | None | $331.13 | $331.13 | $426.58 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $33.11 Median $33.11 Typical High $58.88 | Professional | RR · Rental | $33.11 | $33.11 | $58.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | UE · Used equipment | $245.47 | $245.47 | $245.47 |
CDPHP Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $467.74 | Professional | None | $35.48 | $35.48 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $208.93 Typical High $457.09 | Facility | None | $102.33 | $208.93 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $288.40 | Professional | None | $177.83 | $208.93 | $288.40 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $43.65 Median $72.44 Typical High $158.49 | Facility | RR · Rental | $43.65 | $72.44 | $158.49 |
Emblem Health Setting Professional Modifier None Typical Low $251.19 Median $288.40 Typical High $309.03 | Professional | None | $251.19 | $288.40 | $309.03 |
Excellus BCBS Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Excellus BCBS Setting Professional Modifier None Typical Low $251.19 Median $269.15 Typical High $426.58 | Professional | None | $251.19 | $269.15 | $426.58 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $25.12 Median $26.92 Typical High $35.48 | Professional | RR · Rental | $25.12 | $26.92 | $35.48 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $186.21 Median $190.55 Typical High $199.53 | Professional | UE · Used equipment | $186.21 | $190.55 | $199.53 |
Highmark BCBS Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
MVP Health Care Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $26.92 Median $26.92 Typical High $48.98 | Professional | RR · Rental | $26.92 | $26.92 | $48.98 |
United Setting Professional Modifier None Typical Low $144.54 Median $234.42 Typical High $338.84 | Professional | None | $144.54 | $234.42 | $338.84 |
United Setting Professional Modifier RR · Rental Typical Low $14.45 Median $23.44 Typical High $33.88 | Professional | RR · Rental | $14.45 | $23.44 | $33.88 |
United Setting Professional Modifier UE · Used equipment Typical Low $107.15 Median $173.78 Typical High $251.19 | Professional | UE · Used equipment | $107.15 | $173.78 | $251.19 |
Univera Setting Facility Modifier None Typical Low $251.19 Median $309.03 Typical High $323.59 | Facility | None | $251.19 | $309.03 | $323.59 |
Univera Setting Professional Modifier None Typical Low $251.19 Median $309.03 Typical High $426.58 | Professional | None | $251.19 | $309.03 | $426.58 |
Univera Setting Professional Modifier RR · Rental Typical Low $25.12 Median $30.90 Typical High $35.48 | Professional | RR · Rental | $25.12 | $30.90 | $35.48 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $186.21 Median $190.55 Typical High $309.03 | Professional | UE · Used equipment | $186.21 | $190.55 | $309.03 |
6 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 $354.81 Median $354.81 Typical High $354.81 | Professional | BP · Chose to purchase | $354.81 | $354.81 | $354.81 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | KH · Purchase or 1st rental month | $35.48 | $35.48 | $35.48 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | RB · Replacement part | $467.74 | $467.74 | $467.74 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | BP · Chose to purchase | $354.81 | $354.81 | $354.81 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | KH · Purchase or 1st rental month | $35.48 | $35.48 | $35.48 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | RB · Replacement part | $467.74 | $467.74 | $467.74 |
Where New York sits
The same service costs 4.1 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· 17th of 51
$309
ND $513MS $126
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.