How much rates vary
Facilitymedian $407 · 10th to 90th $331 to $562Professionalmedian $372 · 10th to 90th $269 to $437
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 $204.17 Median $281.84 Typical High $446.68 | Facility | None | $204.17 | $281.84 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $446.68 | Professional | None | $281.84 | $281.84 | $446.68 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $208.93 Median $208.93 Typical High $331.13 | Professional | UE · Used equipment | $208.93 | $208.93 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $758.58 | Facility | None | $380.19 | $380.19 | $758.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $501.19 | Professional | None | $371.54 | $371.54 | $501.19 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $37.15 Median $37.15 Typical High $63.10 | Professional | RR · Rental | $37.15 | $37.15 | $63.10 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | UE · Used equipment | $275.42 | $275.42 | $275.42 |
CDPHP Setting Professional Modifier None Typical Low $43.65 Median $295.12 Typical High $562.34 | Professional | None | $43.65 | $295.12 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $331.13 Typical High $489.78 | Facility | None | $109.65 | $331.13 | $489.78 |
Cigna Setting Facility Modifier RR · Rental Typical Low $12.88 Median $33.11 Typical High $57.54 | Facility | RR · Rental | $12.88 | $33.11 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $331.13 | Professional | None | $281.84 | $331.13 | $331.13 |
Cigna Setting Professional Modifier RR · Rental Typical Low $28.18 Median $33.11 Typical High $33.11 | Professional | RR · Rental | $28.18 | $33.11 | $33.11 |
Emblem Health Setting Facility Modifier None Typical Low $436.52 Median $562.34 Typical High $794.33 | Facility | None | $436.52 | $562.34 | $794.33 |
Emblem Health Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $380.19 | Professional | None | $245.47 | $245.47 | $380.19 |
Excellus BCBS Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Excellus BCBS Setting Professional Modifier None Typical Low $363.08 Median $389.05 Typical High $436.52 | Professional | None | $363.08 | $389.05 | $436.52 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $36.31 Median $38.02 Typical High $40.74 | Professional | RR · Rental | $36.31 | $38.02 | $40.74 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $269.15 Median $275.42 Typical High $295.12 | Professional | UE · Used equipment | $269.15 | $275.42 | $295.12 |
MVP Health Care Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $26.30 Median $26.30 Typical High $50.12 | Professional | RR · Rental | $26.30 | $26.30 | $50.12 |
United Setting Professional Modifier None Typical Low $199.53 Median $269.15 Typical High $416.87 | Professional | None | $199.53 | $269.15 | $416.87 |
United Setting Professional Modifier RR · Rental Typical Low $19.95 Median $30.20 Typical High $39.81 | Professional | RR · Rental | $19.95 | $30.20 | $39.81 |
United Setting Professional Modifier UE · Used equipment Typical Low $151.36 Median $204.17 Typical High $309.03 | Professional | UE · Used equipment | $151.36 | $204.17 | $309.03 |
Univera Setting Facility Modifier None Typical Low $363.08 Median $407.38 Typical High $407.38 | Facility | None | $363.08 | $407.38 | $407.38 |
Univera Setting Professional Modifier None Typical Low $363.08 Median $407.38 Typical High $436.52 | Professional | None | $363.08 | $407.38 | $436.52 |
Univera Setting Professional Modifier RR · Rental Typical Low $36.31 Median $38.90 Typical High $40.74 | Professional | RR · Rental | $36.31 | $38.90 | $40.74 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $269.15 Median $275.42 Typical High $407.38 | Professional | UE · Used equipment | $269.15 | $275.42 | $407.38 |
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 $380.19 Median $380.19 Typical High $380.19 | Professional | BP · Chose to purchase | $380.19 | $380.19 | $380.19 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | KH · Purchase or 1st rental month | $38.02 | $38.02 | $38.02 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | KU · Bidding program group 3 | $537.03 | $537.03 | $537.03 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | RB · Replacement part | $501.19 | $501.19 | $501.19 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | BP · Chose to purchase | $380.19 | $380.19 | $380.19 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | KH · Purchase or 1st rental month | $38.02 | $38.02 | $38.02 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | KU · Bidding program group 3 | $537.03 | $537.03 | $537.03 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | RB · Replacement part | $501.19 | $501.19 | $501.19 |
Where New York sits
The same service costs 2.4 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· 16th of 51
$372
HI $550UT $229
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.