How much rates vary
Facilitymedian $1,122 · 10th to 90th $794 to $1,905Professionalmedian $1,230 · 10th to 90th $912 to $1,698
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 $645.65 Median $977.24 Typical High $1,621.81 | Facility | None | $645.65 | $977.24 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,621.81 | Professional | None | $977.24 | $977.24 | $1,621.81 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $741.31 Median $741.31 Typical High $1,202.26 | Professional | UE · Used equipment | $741.31 | $741.31 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,621.81 | Professional | None | $1,258.93 | $1,258.93 | $1,621.81 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $125.89 Median $125.89 Typical High $229.09 | Professional | RR · Rental | $125.89 | $125.89 | $229.09 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | UE · Used equipment | $933.25 | $933.25 | $933.25 |
CDPHP Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $1,819.70 | Professional | None | $141.25 | $141.25 | $1,819.70 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $794.33 Typical High $2,041.74 | Facility | None | $457.09 | $794.33 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $794.33 Typical High $794.33 | Professional | None | $676.08 | $794.33 | $794.33 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $173.78 Median $288.40 Typical High $630.96 | Facility | RR · Rental | $173.78 | $288.40 | $630.96 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $107.15 Median $128.82 Typical High $173.78 | Professional | RR · Rental | $107.15 | $128.82 | $173.78 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $1,148.15 Typical High $1,698.24 | Professional | None | $1,122.02 | $1,148.15 | $1,698.24 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $112.20 Median $114.82 Typical High $141.25 | Professional | RR · Rental | $112.20 | $114.82 | $141.25 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $851.14 Median $870.96 Typical High $912.01 | Professional | UE · Used equipment | $851.14 | $870.96 | $912.01 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $102.33 Median $102.33 Typical High $194.98 | Professional | RR · Rental | $102.33 | $102.33 | $194.98 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,122.02 Typical High $2,041.74 | Professional | None | $831.76 | $1,122.02 | $2,041.74 |
United Setting Professional Modifier RR · Rental Typical Low $83.18 Median $112.20 Typical High $213.80 | Professional | RR · Rental | $83.18 | $112.20 | $213.80 |
United Setting Professional Modifier UE · Used equipment Typical Low $630.96 Median $851.14 Typical High $1,621.81 | Professional | UE · Used equipment | $630.96 | $851.14 | $1,621.81 |
Univera Setting Facility Modifier None Typical Low $1,122.02 Median $1,148.15 Typical High $1,905.46 | Facility | None | $1,122.02 | $1,148.15 | $1,905.46 |
Univera Setting Professional Modifier None Typical Low $1,122.02 Median $1,148.15 Typical High $1,698.24 | Professional | None | $1,122.02 | $1,148.15 | $1,698.24 |
Univera Setting Professional Modifier RR · Rental Typical Low $112.20 Median $114.82 Typical High $141.25 | Professional | RR · Rental | $112.20 | $114.82 | $141.25 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $512.86 Median $870.96 Typical High $912.01 | Professional | UE · Used equipment | $512.86 | $870.96 | $912.01 |
10 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 $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | BP · Chose to purchase | $1,412.54 | $1,412.54 | $1,412.54 |
Excellus BCBS Setting Professional Modifier KC · Wheelchair interface replaced Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | KC · Wheelchair interface replaced | $3,311.31 | $3,311.31 | $3,311.31 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | KH · Purchase or 1st rental month | $141.25 | $141.25 | $141.25 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | KU · Bidding program group 3 | $3,311.31 | $3,311.31 | $3,311.31 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | RB · Replacement part | $1,819.70 | $1,819.70 | $1,819.70 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | BP · Chose to purchase | $1,412.54 | $1,412.54 | $1,412.54 |
Univera Setting Professional Modifier KC · Wheelchair interface replaced Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | KC · Wheelchair interface replaced | $3,311.31 | $3,311.31 | $3,311.31 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | KH · Purchase or 1st rental month | $141.25 | $141.25 | $141.25 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | KU · Bidding program group 3 | $3,311.31 | $3,311.31 | $3,311.31 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | RB · Replacement part | $1,819.70 | $1,819.70 | $1,819.70 |
Where New York sits
The same service costs 7.6 times more in Kansas 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· 20th of 51
$1,230
KS $2,630MS $347
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.