How much rates vary
Facilitymedian $490 · 10th to 90th $457 to $955Professionalmedian $513 · 10th to 90th $389 to $692
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 $371.54 Median $467.74 Typical High $660.69 | Facility | None | $371.54 | $467.74 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $467.74 Typical High $660.69 | Professional | None | $371.54 | $467.74 | $660.69 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $275.42 Median $354.81 Typical High $501.19 | Professional | UE · Used equipment | $275.42 | $354.81 | $501.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $1,258.93 | Facility | None | $630.96 | $630.96 | $1,258.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $891.25 | Professional | None | $512.86 | $512.86 | $891.25 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $51.29 Median $51.29 Typical High $97.72 | Professional | RR · Rental | $51.29 | $51.29 | $97.72 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | UE · Used equipment | $380.19 | $380.19 | $380.19 |
CDPHP Setting Professional Modifier None Typical Low $69.18 Median $501.19 Typical High $891.25 | Professional | None | $69.18 | $501.19 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $457.09 Typical High $870.96 | Facility | None | $194.98 | $457.09 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $457.09 Typical High $457.09 | Professional | None | $389.05 | $457.09 | $457.09 |
Emblem Health Setting Facility Modifier None Typical Low $758.58 Median $954.99 Typical High $1,318.26 | Facility | None | $758.58 | $954.99 | $1,318.26 |
Emblem Health Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $630.96 | Professional | None | $407.38 | $407.38 | $630.96 |
Excellus BCBS Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Excellus BCBS Setting Professional Modifier None Typical Low $489.78 Median $645.65 Typical High $691.83 | Professional | None | $489.78 | $645.65 | $691.83 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $48.98 Median $64.57 Typical High $69.18 | Professional | RR · Rental | $48.98 | $64.57 | $69.18 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $478.63 Median $489.78 Typical High $524.81 | Professional | UE · Used equipment | $478.63 | $489.78 | $524.81 |
MVP Health Care Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $36.31 Median $36.31 Typical High $70.79 | Professional | RR · Rental | $36.31 | $36.31 | $70.79 |
United Setting Professional Modifier None Typical Low $295.12 Median $371.54 Typical High $588.84 | Professional | None | $295.12 | $371.54 | $588.84 |
United Setting Professional Modifier RR · Rental Typical Low $34.67 Median $47.86 Typical High $66.07 | Professional | RR · Rental | $34.67 | $47.86 | $66.07 |
United Setting Professional Modifier UE · Used equipment Typical Low $218.78 Median $281.84 Typical High $446.68 | Professional | UE · Used equipment | $218.78 | $281.84 | $446.68 |
Univera Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $660.69 | Facility | None | $489.78 | $489.78 | $660.69 |
Univera Setting Professional Modifier None Typical Low $489.78 Median $616.60 Typical High $691.83 | Professional | None | $489.78 | $616.60 | $691.83 |
Univera Setting Professional Modifier RR · Rental Typical Low $48.98 Median $57.54 Typical High $69.18 | Professional | RR · Rental | $48.98 | $57.54 | $69.18 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $478.63 Median $489.78 Typical High $524.81 | Professional | UE · Used equipment | $478.63 | $489.78 | $524.81 |
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 $575.44 Median $575.44 Typical High $575.44 | Professional | BP · Chose to purchase | $575.44 | $575.44 | $575.44 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | KH · Purchase or 1st rental month | $57.54 | $57.54 | $57.54 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | KU · Bidding program group 3 | $977.24 | $977.24 | $977.24 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | RB · Replacement part | $741.31 | $741.31 | $741.31 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | BP · Chose to purchase | $575.44 | $575.44 | $575.44 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | KH · Purchase or 1st rental month | $57.54 | $57.54 | $57.54 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | KU · Bidding program group 3 | $977.24 | $977.24 | $977.24 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | RB · Replacement part | $741.31 | $741.31 | $741.31 |
Where New York sits
The same service costs 2.9 times more in Hawaii than in Montana. 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· 26th of 51
$513
HI $851MT $295
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.