How much rates vary
Facilitymedian $219 · 10th to 90th $123 to $316Professionalmedian $170 · 10th to 90th $123 to $224
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 $120.23 Median $147.91 Typical High $194.98 | Facility | None | $120.23 | $147.91 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $147.91 Typical High $194.98 | Professional | None | $134.90 | $147.91 | $194.98 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $91.20 Median $112.20 Typical High $147.91 | Professional | UE · Used equipment | $91.20 | $112.20 | $147.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $346.74 | Facility | None | $173.78 | $173.78 | $346.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $309.03 | Professional | None | $147.91 | $147.91 | $309.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $15.14 Median $15.14 Typical High $28.84 | Professional | RR · Rental | $15.14 | $15.14 | $28.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | UE · Used equipment | $112.20 | $112.20 | $112.20 |
CDPHP Setting Professional Modifier None Typical Low $21.38 Median $162.18 Typical High $213.80 | Professional | None | $21.38 | $162.18 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $123.03 Typical High $288.40 | Facility | None | $64.57 | $123.03 | $288.40 |
Cigna Setting Facility Modifier RR · Rental Typical Low $5.50 Median $12.30 Typical High $25.12 | Facility | RR · Rental | $5.50 | $12.30 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $151.36 | Professional | None | $104.71 | $123.03 | $151.36 |
Cigna Setting Professional Modifier RR · Rental Typical Low $10.47 Median $12.30 Typical High $12.30 | Professional | RR · Rental | $10.47 | $12.30 | $12.30 |
Emblem Health Setting Facility Modifier None Typical Low $173.78 Median $288.40 Typical High $630.96 | Facility | None | $173.78 | $288.40 | $630.96 |
Emblem Health Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $173.78 | Professional | None | $114.82 | $114.82 | $173.78 |
Excellus BCBS Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Excellus BCBS Setting Professional Modifier None Typical Low $169.82 Median $208.93 Typical High $223.87 | Professional | None | $169.82 | $208.93 | $223.87 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $16.98 Median $20.89 Typical High $22.39 | Professional | RR · Rental | $16.98 | $20.89 | $22.39 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $128.82 Median $162.18 Typical High $169.82 | Professional | UE · Used equipment | $128.82 | $162.18 | $169.82 |
Highmark BCBS Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
MVP Health Care Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
MVP Health Care Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $194.98 | Professional | None | $102.33 | $102.33 | $194.98 |
United Setting Professional Modifier None Typical Low $102.33 Median $144.54 Typical High $218.78 | Professional | None | $102.33 | $144.54 | $218.78 |
United Setting Professional Modifier RR · Rental Typical Low $10.23 Median $14.45 Typical High $20.89 | Professional | RR · Rental | $10.23 | $14.45 | $20.89 |
United Setting Professional Modifier UE · Used equipment Typical Low $75.86 Median $107.15 Typical High $158.49 | Professional | UE · Used equipment | $75.86 | $107.15 | $158.49 |
Univera Setting Facility Modifier None Typical Low $208.93 Median $218.78 Typical High $245.47 | Facility | None | $208.93 | $218.78 | $245.47 |
Univera Setting Professional Modifier None Typical Low $169.82 Median $218.78 Typical High $223.87 | Professional | None | $169.82 | $218.78 | $223.87 |
Univera Setting Professional Modifier RR · Rental Typical Low $16.98 Median $21.88 Typical High $22.39 | Professional | RR · Rental | $16.98 | $21.88 | $22.39 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $128.82 Median $162.18 Typical High $169.82 | Professional | UE · Used equipment | $128.82 | $162.18 | $169.82 |
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 $16.98 Median $16.98 Typical High $16.98 | Professional | KH · Purchase or 1st rental month | $16.98 | $16.98 | $16.98 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | KU · Bidding program group 3 | $257.04 | $257.04 | $257.04 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | KH · Purchase or 1st rental month | $16.98 | $16.98 | $16.98 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | KU · Bidding program group 3 | $257.04 | $257.04 | $257.04 |
Where New York sits
The same service costs 3.1 times more in Kansas 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· 7th of 51
$195
KS $324NM $105
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.