How much rates vary
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 $380.19 Median $588.84 Typical High $954.99 | Facility | None | $380.19 | $588.84 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $954.99 | Professional | None | $588.84 | $588.84 | $954.99 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $446.68 Median $446.68 Typical High $724.44 | Professional | UE · Used equipment | $446.68 | $446.68 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $2,041.74 | Facility | None | $1,023.29 | $1,023.29 | $2,041.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $1,412.54 | Professional | None | $741.31 | $741.31 | $1,412.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $74.13 Median $74.13 Typical High $131.83 | Professional | RR · Rental | $74.13 | $74.13 | $131.83 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | UE · Used equipment | $549.54 | $549.54 | $549.54 |
CDPHP Setting Professional Modifier None Typical Low $83.18 Median $630.96 Typical High $831.76 | Professional | None | $83.18 | $630.96 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $616.60 Typical High $1,258.93 | Facility | None | $275.42 | $616.60 | $1,258.93 |
Cigna Setting Facility Modifier RR · Rental Typical Low $27.54 Median $61.66 Typical High $125.89 | Facility | RR · Rental | $27.54 | $61.66 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $616.60 Typical High $660.69 | Professional | None | $524.81 | $616.60 | $660.69 |
Cigna Setting Professional Modifier RR · Rental Typical Low $52.48 Median $61.66 Typical High $61.66 | Professional | RR · Rental | $52.48 | $61.66 | $61.66 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $389.05 Median $457.09 Typical High $457.09 | Professional | UE · Used equipment | $389.05 | $457.09 | $457.09 |
Emblem Health Setting Facility Modifier None Typical Low $1,023.29 Median $1,698.24 Typical High $3,715.35 | Facility | None | $1,023.29 | $1,698.24 | $3,715.35 |
Emblem Health Setting Professional Modifier None Typical Low $630.96 Median $660.69 Typical High $1,023.29 | Professional | None | $630.96 | $660.69 | $1,023.29 |
Excellus BCBS Setting Professional Modifier None Typical Low $575.44 Median $588.84 Typical High $831.76 | Professional | None | $575.44 | $588.84 | $831.76 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $57.54 Median $58.88 Typical High $83.18 | Professional | RR · Rental | $57.54 | $58.88 | $83.18 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $426.58 Median $436.52 Typical High $630.96 | Professional | UE · Used equipment | $426.58 | $436.52 | $630.96 |
MVP Health Care Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $1,148.15 | Professional | None | $616.60 | $616.60 | $1,148.15 |
United Setting Professional Modifier None Typical Low $323.59 Median $524.81 Typical High $758.58 | Professional | None | $323.59 | $524.81 | $758.58 |
United Setting Professional Modifier RR · Rental Typical Low $32.36 Median $53.70 Typical High $75.86 | Professional | RR · Rental | $32.36 | $53.70 | $75.86 |
United Setting Professional Modifier UE · Used equipment Typical Low $245.47 Median $398.11 Typical High $562.34 | Professional | UE · Used equipment | $245.47 | $398.11 | $562.34 |
Univera Setting Facility Modifier None Typical Low $575.44 Median $588.84 Typical High $588.84 | Facility | None | $575.44 | $588.84 | $588.84 |
Univera Setting Professional Modifier None Typical Low $575.44 Median $588.84 Typical High $831.76 | Professional | None | $575.44 | $588.84 | $831.76 |
Univera Setting Professional Modifier RR · Rental Typical Low $57.54 Median $58.88 Typical High $83.18 | Professional | RR · Rental | $57.54 | $58.88 | $83.18 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $426.58 Median $436.52 Typical High $630.96 | Professional | UE · Used equipment | $426.58 | $436.52 | $630.96 |
2 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 $83.18 Median $83.18 Typical High $83.18 | Professional | KH · Purchase or 1st rental month | $83.18 | $83.18 | $83.18 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | KH · Purchase or 1st rental month | $83.18 | $83.18 | $83.18 |
Where New York sits
The same service costs 2.1 times more in Montana than in Illinois. 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· 30th of 51
$661
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.