How much rates vary
Facilitymedian $182 · 10th to 90th $132 to $331Professionalmedian $158 · 10th to 90th $123 to $182
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 $91.20 Median $131.83 Typical High $186.21 | Facility | None | $91.20 | $131.83 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $186.21 | Professional | None | $131.83 | $131.83 | $186.21 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $100.00 Median $100.00 Typical High $141.25 | Professional | UE · Used equipment | $100.00 | $100.00 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $380.19 | Facility | None | $190.55 | $190.55 | $380.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $281.84 | Professional | None | $158.49 | $158.49 | $281.84 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $15.85 Median $15.85 Typical High $26.92 | Professional | RR · Rental | $15.85 | $15.85 | $26.92 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | UE · Used equipment | $120.23 | $120.23 | $120.23 |
CDPHP Setting Professional Modifier None Typical Low $18.62 Median $141.25 Typical High $186.21 | Professional | None | $18.62 | $141.25 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $131.83 Typical High $251.19 | Facility | None | $56.23 | $131.83 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $131.83 Typical High $169.82 | Professional | None | $112.20 | $131.83 | $169.82 |
Emblem Health Setting Facility Modifier None Typical Low $190.55 Median $309.03 Typical High $676.08 | Facility | None | $190.55 | $309.03 | $676.08 |
Emblem Health Setting Professional Modifier None Typical Low $120.23 Median $123.03 Typical High $190.55 | Professional | None | $120.23 | $123.03 | $190.55 |
Excellus BCBS Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Excellus BCBS Setting Professional Modifier None Typical Low $144.54 Median $154.88 Typical High $181.97 | Professional | None | $144.54 | $154.88 | $181.97 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $14.45 Median $15.49 Typical High $18.20 | Professional | RR · Rental | $14.45 | $15.49 | $18.20 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $107.15 Median $109.65 Typical High $120.23 | Professional | UE · Used equipment | $107.15 | $109.65 | $120.23 |
Highmark BCBS Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $194.98 | Professional | None | $151.36 | $151.36 | $194.98 |
MVP Health Care Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
MVP Health Care Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $213.80 | Professional | None | $109.65 | $109.65 | $213.80 |
United Setting Professional Modifier None Typical Low $79.43 Median $125.89 Typical High $165.96 | Professional | None | $79.43 | $125.89 | $165.96 |
United Setting Professional Modifier RR · Rental Typical Low $7.94 Median $12.59 Typical High $16.22 | Professional | RR · Rental | $7.94 | $12.59 | $16.22 |
United Setting Professional Modifier UE · Used equipment Typical Low $60.26 Median $93.33 Typical High $123.03 | Professional | UE · Used equipment | $60.26 | $93.33 | $123.03 |
Univera Setting Facility Modifier None Typical Low $144.54 Median $181.97 Typical High $190.55 | Facility | None | $144.54 | $181.97 | $190.55 |
Univera Setting Professional Modifier None Typical Low $144.54 Median $162.18 Typical High $181.97 | Professional | None | $144.54 | $162.18 | $181.97 |
Univera Setting Professional Modifier RR · Rental Typical Low $14.45 Median $16.22 Typical High $18.20 | Professional | RR · Rental | $14.45 | $16.22 | $18.20 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $107.15 Median $109.65 Typical High $120.23 | Professional | UE · Used equipment | $107.15 | $109.65 | $120.23 |
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 $16.22 Median $16.22 Typical High $16.22 | Professional | KH · Purchase or 1st rental month | $16.22 | $16.22 | $16.22 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | KU · Bidding program group 3 | $194.98 | $194.98 | $194.98 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | KH · Purchase or 1st rental month | $16.22 | $16.22 | $16.22 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | KU · Bidding program group 3 | $194.98 | $194.98 | $194.98 |
Where New York sits
The same service costs 2.6 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· 30th of 51
$158
HI $245NM $95.50
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.