How much rates vary
Facilitymedian $40 · 10th to 90th $25 to $89Professionalmedian $39 · 10th to 90th $30 to $44
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 $19.95 Median $30.90 Typical High $51.29 | Facility | None | $19.95 | $30.90 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $51.29 | Professional | None | $30.90 | $30.90 | $51.29 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $23.44 Median $23.44 Typical High $38.02 | Professional | UE · Used equipment | $23.44 | $23.44 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $107.15 | Facility | None | $53.70 | $53.70 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $75.86 | Professional | None | $38.90 | $38.90 | $75.86 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.89 Median $3.89 Typical High $7.08 | Professional | RR · Rental | $3.89 | $3.89 | $7.08 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | UE · Used equipment | $28.84 | $28.84 | $28.84 |
CDPHP Setting Professional Modifier None Typical Low $4.37 Median $33.11 Typical High $43.65 | Professional | None | $4.37 | $33.11 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $24.55 Typical High $66.07 | Facility | None | $14.79 | $24.55 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $24.55 Typical High $29.51 | Professional | None | $20.89 | $24.55 | $29.51 |
Emblem Health Setting Facility Modifier None Typical Low $53.70 Median $89.13 Typical High $194.98 | Facility | None | $53.70 | $89.13 | $194.98 |
Emblem Health Setting Professional Modifier None Typical Low $33.11 Median $34.67 Typical High $53.70 | Professional | None | $33.11 | $34.67 | $53.70 |
Excellus BCBS Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Excellus BCBS Setting Professional Modifier None Typical Low $35.48 Median $38.02 Typical High $43.65 | Professional | None | $35.48 | $38.02 | $43.65 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $3.55 Median $3.80 Typical High $4.37 | Professional | RR · Rental | $3.55 | $3.80 | $4.37 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $26.30 Median $26.92 Typical High $33.11 | Professional | UE · Used equipment | $26.30 | $26.92 | $33.11 |
MVP Health Care Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
MVP Health Care Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $60.26 | Professional | None | $32.36 | $32.36 | $60.26 |
United Setting Professional Modifier None Typical Low $19.50 Median $32.36 Typical High $43.65 | Professional | None | $19.50 | $32.36 | $43.65 |
United Setting Professional Modifier RR · Rental Typical Low $1.95 Median $3.24 Typical High $4.37 | Professional | RR · Rental | $1.95 | $3.24 | $4.37 |
United Setting Professional Modifier UE · Used equipment Typical Low $14.79 Median $23.99 Typical High $33.11 | Professional | UE · Used equipment | $14.79 | $23.99 | $33.11 |
Univera Setting Facility Modifier None Typical Low $34.67 Median $39.81 Typical High $39.81 | Facility | None | $34.67 | $39.81 | $39.81 |
Univera Setting Professional Modifier None Typical Low $35.48 Median $39.81 Typical High $43.65 | Professional | None | $35.48 | $39.81 | $43.65 |
Univera Setting Professional Modifier RR · Rental Typical Low $3.55 Median $3.98 Typical High $4.37 | Professional | RR · Rental | $3.55 | $3.98 | $4.37 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $26.30 Median $28.18 Typical High $33.11 | Professional | UE · Used equipment | $26.30 | $28.18 | $33.11 |
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 $4.37 Median $4.37 Typical High $4.37 | Professional | KH · Purchase or 1st rental month | $4.37 | $4.37 | $4.37 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | KU · Bidding program group 3 | $43.65 | $43.65 | $43.65 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | KH · Purchase or 1st rental month | $4.37 | $4.37 | $4.37 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | KU · Bidding program group 3 | $43.65 | $43.65 | $43.65 |
Where New York sits
The same service costs 10.0 times more in Kansas 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· 18th of 51
$38.90
KS $240NM $23.99
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.