How much rates vary
Facilitymedian $316 · 10th to 90th $240 to $398Professionalmedian $302 · 10th to 90th $240 to $316
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 $158.49 Median $245.47 Typical High $407.38 | Facility | None | $158.49 | $245.47 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $407.38 | Professional | None | $245.47 | $245.47 | $407.38 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $181.97 Median $181.97 Typical High $302.00 | Professional | UE · Used equipment | $181.97 | $181.97 | $302.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $398.11 | Professional | None | $309.03 | $309.03 | $398.11 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $30.90 Median $30.90 Typical High $54.95 | Professional | RR · Rental | $30.90 | $30.90 | $54.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | UE · Used equipment | $229.09 | $229.09 | $229.09 |
CDPHP Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $457.09 | Professional | None | $34.67 | $34.67 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $239.88 Typical High $501.19 | Facility | None | $112.20 | $239.88 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $239.88 | Professional | None | $204.17 | $239.88 | $239.88 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $42.66 Median $70.79 Typical High $154.88 | Facility | RR · Rental | $42.66 | $70.79 | $154.88 |
Emblem Health Setting Professional Modifier None Typical Low $251.19 Median $316.23 Typical High $316.23 | Professional | None | $251.19 | $316.23 | $316.23 |
Excellus BCBS Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Excellus BCBS Setting Professional Modifier None Typical Low $281.84 Median $302.00 Typical High $316.23 | Professional | None | $281.84 | $302.00 | $316.23 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $28.18 Median $30.20 Typical High $34.67 | Professional | RR · Rental | $28.18 | $30.20 | $34.67 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $208.93 Median $213.80 Typical High $223.87 | Professional | UE · Used equipment | $208.93 | $213.80 | $223.87 |
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 $25.70 Median $25.70 Typical High $47.86 | Professional | RR · Rental | $25.70 | $25.70 | $47.86 |
United Setting Professional Modifier None Typical Low $154.88 Median $257.04 Typical High $346.74 | Professional | None | $154.88 | $257.04 | $346.74 |
United Setting Professional Modifier RR · Rental Typical Low $15.49 Median $25.12 Typical High $34.67 | Professional | RR · Rental | $15.49 | $25.12 | $34.67 |
United Setting Professional Modifier UE · Used equipment Typical Low $117.49 Median $190.55 Typical High $263.03 | Professional | UE · Used equipment | $117.49 | $190.55 | $263.03 |
Univera Setting Facility Modifier None Typical Low $275.42 Median $316.23 Typical High $316.23 | Facility | None | $275.42 | $316.23 | $316.23 |
Univera Setting Professional Modifier None Typical Low $281.84 Median $302.00 Typical High $316.23 | Professional | None | $281.84 | $302.00 | $316.23 |
Univera Setting Professional Modifier RR · Rental Typical Low $28.18 Median $31.62 Typical High $34.67 | Professional | RR · Rental | $28.18 | $31.62 | $34.67 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $208.93 Median $213.80 Typical High $316.23 | Professional | UE · Used equipment | $208.93 | $213.80 | $316.23 |
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 $346.74 Median $346.74 Typical High $346.74 | Professional | BP · Chose to purchase | $346.74 | $346.74 | $346.74 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | KH · Purchase or 1st rental month | $34.67 | $34.67 | $34.67 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | RB · Replacement part | $457.09 | $457.09 | $457.09 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | BP · Chose to purchase | $346.74 | $346.74 | $346.74 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | KH · Purchase or 1st rental month | $34.67 | $34.67 | $34.67 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | RB · Replacement part | $457.09 | $457.09 | $457.09 |
Where New York sits
The same service costs 9.3 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· 14th of 51
$309
ND $479MS $51.29
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.