How much rates vary
Facilitymedian $468 · 10th to 90th $331 to $646Professionalmedian $417 · 10th to 90th $275 to $479
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 $234.42 Median $316.23 Typical High $489.78 | Facility | None | $234.42 | $316.23 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $489.78 | Professional | None | $316.23 | $316.23 | $489.78 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $239.88 Median $239.88 Typical High $371.54 | Professional | UE · Used equipment | $239.88 | $239.88 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $851.14 | Facility | None | $426.58 | $426.58 | $851.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $575.44 | Professional | None | $389.05 | $389.05 | $575.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.90 Median $38.90 Typical High $72.44 | Professional | RR · Rental | $38.90 | $38.90 | $72.44 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | UE · Used equipment | $295.12 | $295.12 | $295.12 |
CDPHP Setting Professional Modifier None Typical Low $47.86 Median $338.84 Typical High $616.60 | Professional | None | $47.86 | $338.84 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $331.13 Typical High $562.34 | Facility | None | $125.89 | $331.13 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $331.13 Typical High $331.13 | Professional | None | $275.42 | $331.13 | $331.13 |
Emblem Health Setting Facility Modifier None Typical Low $489.78 Median $645.65 Typical High $891.25 | Facility | None | $489.78 | $645.65 | $891.25 |
Emblem Health Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $426.58 | Professional | None | $275.42 | $275.42 | $426.58 |
Excellus BCBS Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Excellus BCBS Setting Professional Modifier None Typical Low $416.87 Median $446.68 Typical High $478.63 | Professional | None | $416.87 | $446.68 | $478.63 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $42.66 Median $42.66 Typical High $46.77 | Professional | RR · Rental | $42.66 | $42.66 | $46.77 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $309.03 Median $316.23 Typical High $338.84 | Professional | UE · Used equipment | $309.03 | $316.23 | $338.84 |
MVP Health Care Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $28.84 Median $28.84 Typical High $56.23 | Professional | RR · Rental | $28.84 | $28.84 | $56.23 |
United Setting Professional Modifier None Typical Low $218.78 Median $275.42 Typical High $457.09 | Professional | None | $218.78 | $275.42 | $457.09 |
United Setting Professional Modifier RR · Rental Typical Low $22.91 Median $33.88 Typical High $46.77 | Professional | RR · Rental | $22.91 | $33.88 | $46.77 |
United Setting Professional Modifier UE · Used equipment Typical Low $162.18 Median $208.93 Typical High $346.74 | Professional | UE · Used equipment | $162.18 | $208.93 | $346.74 |
Univera Setting Facility Modifier None Typical Low $416.87 Median $467.74 Typical High $467.74 | Facility | None | $416.87 | $467.74 | $467.74 |
Univera Setting Professional Modifier None Typical Low $416.87 Median $467.74 Typical High $478.63 | Professional | None | $416.87 | $467.74 | $478.63 |
Univera Setting Professional Modifier RR · Rental Typical Low $42.66 Median $44.67 Typical High $46.77 | Professional | RR · Rental | $42.66 | $44.67 | $46.77 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $309.03 Median $316.23 Typical High $467.74 | Professional | UE · Used equipment | $309.03 | $316.23 | $467.74 |
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 $426.58 Median $426.58 Typical High $426.58 | Professional | BP · Chose to purchase | $426.58 | $426.58 | $426.58 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | KH · Purchase or 1st rental month | $42.66 | $42.66 | $42.66 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | KU · Bidding program group 3 | $616.60 | $616.60 | $616.60 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | RB · Replacement part | $549.54 | $549.54 | $549.54 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | BP · Chose to purchase | $426.58 | $426.58 | $426.58 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | KH · Purchase or 1st rental month | $42.66 | $42.66 | $42.66 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | KU · Bidding program group 3 | $616.60 | $616.60 | $616.60 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | RB · Replacement part | $549.54 | $549.54 | $549.54 |
Where New York sits
The same service costs 2.7 times more in Hawaii 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· 10th of 51
$417
HI $631IL $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.