How much rates vary
Facilitymedian $63 · 10th to 90th $54 to $141Professionalmedian $62 · 10th to 90th $48 to $68
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 $31.62 Median $47.86 Typical High $79.43 | Facility | None | $31.62 | $47.86 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $79.43 | Professional | None | $47.86 | $47.86 | $79.43 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $23.99 Median $36.31 Typical High $58.88 | Professional | UE · Used equipment | $23.99 | $36.31 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $169.82 | Facility | None | $85.11 | $85.11 | $169.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $117.49 | Professional | None | $61.66 | $61.66 | $117.49 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.17 Median $6.17 Typical High $11.22 | Professional | RR · Rental | $6.17 | $6.17 | $11.22 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | UE · Used equipment | $45.71 | $45.71 | $45.71 |
CDPHP Setting Professional Modifier None Typical Low $6.92 Median $51.29 Typical High $69.18 | Professional | None | $6.92 | $51.29 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $53.70 Typical High $104.71 | Facility | None | $22.91 | $53.70 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $53.70 Typical High $70.79 | Professional | None | $45.71 | $53.70 | $70.79 |
Emblem Health Setting Facility Modifier None Typical Low $85.11 Median $141.25 Typical High $309.03 | Facility | None | $85.11 | $141.25 | $309.03 |
Emblem Health Setting Professional Modifier None Typical Low $52.48 Median $54.95 Typical High $85.11 | Professional | None | $52.48 | $54.95 | $85.11 |
Excellus BCBS Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Excellus BCBS Setting Professional Modifier None Typical Low $56.23 Median $60.26 Typical High $67.61 | Professional | None | $56.23 | $60.26 | $67.61 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $5.62 Median $6.03 Typical High $6.76 | Professional | RR · Rental | $5.62 | $6.03 | $6.76 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $41.69 Median $42.66 Typical High $51.29 | Professional | UE · Used equipment | $41.69 | $42.66 | $51.29 |
Highmark BCBS Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
MVP Health Care Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
MVP Health Care Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $95.50 | Professional | None | $50.12 | $50.12 | $95.50 |
United Setting Professional Modifier None Typical Low $30.90 Median $51.29 Typical High $67.61 | Professional | None | $30.90 | $51.29 | $67.61 |
United Setting Professional Modifier RR · Rental Typical Low $3.09 Median $5.01 Typical High $6.76 | Professional | RR · Rental | $3.09 | $5.01 | $6.76 |
United Setting Professional Modifier UE · Used equipment Typical Low $22.91 Median $38.02 Typical High $51.29 | Professional | UE · Used equipment | $22.91 | $38.02 | $51.29 |
Univera Setting Facility Modifier None Typical Low $54.95 Median $63.10 Typical High $63.10 | Facility | None | $54.95 | $63.10 | $63.10 |
Univera Setting Professional Modifier None Typical Low $56.23 Median $63.10 Typical High $67.61 | Professional | None | $56.23 | $63.10 | $67.61 |
Univera Setting Professional Modifier RR · Rental Typical Low $5.62 Median $6.31 Typical High $6.76 | Professional | RR · Rental | $5.62 | $6.31 | $6.76 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $41.69 Median $44.67 Typical High $51.29 | Professional | UE · Used equipment | $41.69 | $44.67 | $51.29 |
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 $6.76 Median $6.76 Typical High $6.76 | Professional | KH · Purchase or 1st rental month | $6.76 | $6.76 | $6.76 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | KU · Bidding program group 3 | $69.18 | $69.18 | $69.18 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | KH · Purchase or 1st rental month | $6.76 | $6.76 | $6.76 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | KU · Bidding program group 3 | $69.18 | $69.18 | $69.18 |
Where New York sits
The same service costs 2.3 times more in Hawaii than in New Mexico. 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· 21st of 51
$61.66
HI $89.13NM $38.02
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.