How much rates vary
Facilitymedian $120 · 10th to 90th $91 to $245Professionalmedian $110 · 10th to 90th $81 to $120
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 $60.26 Median $81.28 Typical High $138.04 | Facility | None | $60.26 | $81.28 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $138.04 | Professional | None | $81.28 | $81.28 | $138.04 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $60.26 Median $60.26 Typical High $104.71 | Professional | UE · Used equipment | $60.26 | $60.26 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $288.40 | Facility | None | $144.54 | $144.54 | $288.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $208.93 | Professional | None | $109.65 | $109.65 | $208.93 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $10.96 Median $10.96 Typical High $19.05 | Professional | RR · Rental | $10.96 | $10.96 | $19.05 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | UE · Used equipment | $83.18 | $83.18 | $83.18 |
CDPHP Setting Professional Modifier None Typical Low $13.18 Median $97.72 Typical High $131.83 | Professional | None | $13.18 | $97.72 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $95.50 Typical High $181.97 | Facility | None | $40.74 | $95.50 | $181.97 |
Cigna Setting Facility Modifier RR · Rental Typical Low $4.07 Median $9.77 Typical High $18.20 | Facility | RR · Rental | $4.07 | $9.77 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $102.33 | Professional | None | $81.28 | $95.50 | $102.33 |
Cigna Setting Professional Modifier RR · Rental Typical Low $8.32 Median $9.77 Typical High $9.77 | Professional | RR · Rental | $8.32 | $9.77 | $9.77 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $61.66 Median $72.44 Typical High $72.44 | Professional | UE · Used equipment | $61.66 | $72.44 | $72.44 |
Emblem Health Setting Facility Modifier None Typical Low $144.54 Median $239.88 Typical High $524.81 | Facility | None | $144.54 | $239.88 | $524.81 |
Emblem Health Setting Professional Modifier None Typical Low $89.13 Median $93.33 Typical High $144.54 | Professional | None | $89.13 | $93.33 | $144.54 |
Excellus BCBS Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Excellus BCBS Setting Professional Modifier None Typical Low $91.20 Median $95.50 Typical High $120.23 | Professional | None | $91.20 | $95.50 | $120.23 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $9.12 Median $9.77 Typical High $12.02 | Professional | RR · Rental | $9.12 | $9.77 | $12.02 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $67.61 Median $67.61 Typical High $89.13 | Professional | UE · Used equipment | $67.61 | $67.61 | $89.13 |
MVP Health Care Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
MVP Health Care Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $162.18 | Professional | None | $79.43 | $79.43 | $162.18 |
United Setting Professional Modifier None Typical Low $50.12 Median $81.28 Typical High $114.82 | Professional | None | $50.12 | $81.28 | $114.82 |
United Setting Professional Modifier RR · Rental Typical Low $5.01 Median $8.13 Typical High $11.48 | Professional | RR · Rental | $5.01 | $8.13 | $11.48 |
United Setting Professional Modifier UE · Used equipment Typical Low $38.02 Median $60.26 Typical High $85.11 | Professional | UE · Used equipment | $38.02 | $60.26 | $85.11 |
Univera Setting Facility Modifier None Typical Low $91.20 Median $120.23 Typical High $120.23 | Facility | None | $91.20 | $120.23 | $120.23 |
Univera Setting Professional Modifier None Typical Low $91.20 Median $120.23 Typical High $120.23 | Professional | None | $91.20 | $120.23 | $120.23 |
Univera Setting Professional Modifier RR · Rental Typical Low $9.12 Median $12.02 Typical High $12.02 | Professional | RR · Rental | $9.12 | $12.02 | $12.02 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $67.61 Median $72.44 Typical High $89.13 | Professional | UE · Used equipment | $67.61 | $72.44 | $89.13 |
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 $12.02 Median $12.02 Typical High $12.02 | Professional | KH · Purchase or 1st rental month | $12.02 | $12.02 | $12.02 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | KU · Bidding program group 3 | $131.83 | $131.83 | $131.83 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | KH · Purchase or 1st rental month | $12.02 | $12.02 | $12.02 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | KU · Bidding program group 3 | $131.83 | $131.83 | $131.83 |
Where New York sits
The same service costs 2.3 times more in Hawaii than in Utah. 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· 17th of 51
$110
HI $174UT $74.13
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.