How much rates vary
Facilitymedian $1,622 · 10th to 90th $1,413 to $2,042Professionalmedian $1,549 · 10th to 90th $1,230 to $2,138
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 $812.83 Median $1,230.27 Typical High $2,041.74 | Facility | None | $812.83 | $1,230.27 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $2,041.74 | Professional | None | $1,230.27 | $1,230.27 | $2,041.74 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $933.25 Median $933.25 Typical High $1,548.82 | Professional | UE · Used equipment | $933.25 | $933.25 | $1,548.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $2,041.74 | Professional | None | $1,548.82 | $1,548.82 | $2,041.74 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $154.88 Median $154.88 Typical High $281.84 | Professional | RR · Rental | $154.88 | $154.88 | $281.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | UE · Used equipment | $1,174.90 | $1,174.90 | $1,174.90 |
CDPHP Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $2,290.87 | Professional | None | $177.83 | $177.83 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $1,995.26 Typical High $2,884.03 | Facility | None | $426.58 | $1,995.26 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $1,819.70 Typical High $1,819.70 | Professional | None | $186.21 | $1,819.70 | $1,819.70 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $218.78 Median $354.81 Typical High $776.25 | Facility | RR · Rental | $218.78 | $354.81 | $776.25 |
Emblem Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,288.25 | $1,621.81 | $1,621.81 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,445.44 Median $1,548.82 Typical High $2,137.96 | Professional | None | $1,445.44 | $1,548.82 | $2,137.96 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $144.54 Median $154.88 Typical High $177.83 | Professional | RR · Rental | $144.54 | $154.88 | $177.83 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,071.52 Median $1,071.52 Typical High $1,148.15 | Professional | UE · Used equipment | $1,071.52 | $1,071.52 | $1,148.15 |
MVP Health Care Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $128.82 Median $128.82 Typical High $245.47 | Professional | RR · Rental | $128.82 | $128.82 | $245.47 |
United Setting Professional Modifier None Typical Low $794.33 Median $1,288.25 Typical High $1,778.28 | Professional | None | $794.33 | $1,288.25 | $1,778.28 |
United Setting Professional Modifier RR · Rental Typical Low $79.43 Median $128.82 Typical High $177.83 | Professional | RR · Rental | $79.43 | $128.82 | $177.83 |
United Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $977.24 Typical High $1,318.26 | Professional | UE · Used equipment | $588.84 | $977.24 | $1,318.26 |
Univera Setting Facility Modifier None Typical Low $1,412.54 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,412.54 | $1,621.81 | $1,621.81 |
Univera Setting Professional Modifier None Typical Low $1,445.44 Median $1,621.81 Typical High $2,137.96 | Professional | None | $1,445.44 | $1,621.81 | $2,137.96 |
Univera Setting Professional Modifier RR · Rental Typical Low $144.54 Median $162.18 Typical High $177.83 | Professional | RR · Rental | $144.54 | $162.18 | $177.83 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $1,071.52 Median $1,071.52 Typical High $1,621.81 | Professional | UE · Used equipment | $1,071.52 | $1,071.52 | $1,621.81 |
8 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 $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | BP · Chose to purchase | $1,778.28 | $1,778.28 | $1,778.28 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | KH · Purchase or 1st rental month | $177.83 | $177.83 | $177.83 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | KU · Bidding program group 3 | $2,137.96 | $2,137.96 | $2,137.96 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | RB · Replacement part | $2,290.87 | $2,290.87 | $2,290.87 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | BP · Chose to purchase | $1,778.28 | $1,778.28 | $1,778.28 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | KH · Purchase or 1st rental month | $177.83 | $177.83 | $177.83 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | KU · Bidding program group 3 | $2,137.96 | $2,137.96 | $2,137.96 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | RB · Replacement part | $2,290.87 | $2,290.87 | $2,290.87 |
Where New York sits
The same service costs 10.5 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· 13th of 51
$1,549
ND $2,455MS $234
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.