How much rates vary
Facilitymedian $138 · 10th to 90th $112 to $282Professionalmedian $135 · 10th to 90th $98 to $148
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 $69.18 Median $97.72 Typical High $158.49 | Facility | None | $69.18 | $97.72 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $158.49 | Professional | None | $97.72 | $97.72 | $158.49 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $74.13 Median $74.13 Typical High $117.49 | Professional | UE · Used equipment | $74.13 | $74.13 | $117.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $331.13 | Facility | None | $165.96 | $165.96 | $331.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $234.42 | Professional | None | $134.90 | $134.90 | $234.42 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $13.49 Median $13.49 Typical High $22.91 | Professional | RR · Rental | $13.49 | $13.49 | $22.91 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | UE · Used equipment | $100.00 | $100.00 | $100.00 |
CDPHP Setting Professional Modifier None Typical Low $15.14 Median $112.20 Typical High $151.36 | Professional | None | $15.14 | $112.20 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $112.20 Typical High $208.93 | Facility | None | $46.77 | $112.20 | $208.93 |
Cigna Setting Facility Modifier RR · Rental Typical Low $11.22 Median $11.22 Typical High $20.89 | Facility | RR · Rental | $11.22 | $11.22 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $112.20 Typical High $117.49 | Professional | None | $95.50 | $112.20 | $117.49 |
Cigna Setting Professional Modifier RR · Rental Typical Low $9.55 Median $11.22 Typical High $11.22 | Professional | RR · Rental | $9.55 | $11.22 | $11.22 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $70.79 Median $83.18 Typical High $83.18 | Professional | UE · Used equipment | $70.79 | $83.18 | $83.18 |
Emblem Health Setting Facility Modifier None Typical Low $165.96 Median $269.15 Typical High $588.84 | Facility | None | $165.96 | $269.15 | $588.84 |
Emblem Health Setting Professional Modifier None Typical Low $102.33 Median $107.15 Typical High $165.96 | Professional | None | $102.33 | $107.15 | $165.96 |
Excellus BCBS Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Excellus BCBS Setting Professional Modifier None Typical Low $123.03 Median $131.83 Typical High $138.04 | Professional | None | $123.03 | $131.83 | $138.04 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $12.30 Median $13.18 Typical High $13.80 | Professional | RR · Rental | $12.30 | $13.18 | $13.80 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $91.20 Median $93.33 Typical High $102.33 | Professional | UE · Used equipment | $91.20 | $93.33 | $102.33 |
MVP Health Care Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
MVP Health Care Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $186.21 | Professional | None | $95.50 | $95.50 | $186.21 |
United Setting Professional Modifier None Typical Low $67.61 Median $109.65 Typical High $138.04 | Professional | None | $67.61 | $109.65 | $138.04 |
United Setting Professional Modifier RR · Rental Typical Low $6.76 Median $10.72 Typical High $13.80 | Professional | RR · Rental | $6.76 | $10.72 | $13.80 |
United Setting Professional Modifier UE · Used equipment Typical Low $50.12 Median $79.43 Typical High $102.33 | Professional | UE · Used equipment | $50.12 | $79.43 | $102.33 |
Univera Setting Facility Modifier None Typical Low $120.23 Median $138.04 Typical High $138.04 | Facility | None | $120.23 | $138.04 | $138.04 |
Univera Setting Professional Modifier None Typical Low $123.03 Median $134.90 Typical High $138.04 | Professional | None | $123.03 | $134.90 | $138.04 |
Univera Setting Professional Modifier RR · Rental Typical Low $12.30 Median $13.49 Typical High $13.80 | Professional | RR · Rental | $12.30 | $13.49 | $13.80 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $91.20 Median $97.72 Typical High $102.33 | Professional | UE · Used equipment | $91.20 | $97.72 | $102.33 |
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 $13.49 Median $13.49 Typical High $13.49 | Professional | KH · Purchase or 1st rental month | $13.49 | $13.49 | $13.49 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | KU · Bidding program group 3 | $151.36 | $151.36 | $151.36 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | KH · Purchase or 1st rental month | $13.49 | $13.49 | $13.49 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | KU · Bidding program group 3 | $151.36 | $151.36 | $151.36 |
Where New York sits
The same service costs 1.9 times more in Wisconsin 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· 22nd of 51
$135
WI $178UT $95.50
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.