How much rates vary
Facilitymedian $490 · 10th to 90th $282 to $589Professionalmedian $479 · 10th to 90th $331 to $603
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 $245.47 Median $363.08 Typical High $588.84 | Facility | None | $245.47 | $363.08 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $363.08 Typical High $588.84 | Professional | None | $245.47 | $363.08 | $588.84 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $181.97 Median $269.15 Typical High $446.68 | Professional | UE · Used equipment | $181.97 | $269.15 | $446.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $616.60 | Professional | None | $478.63 | $478.63 | $616.60 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $47.86 Median $47.86 Typical High $85.11 | Professional | RR · Rental | $47.86 | $47.86 | $85.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | UE · Used equipment | $354.81 | $354.81 | $354.81 |
CDPHP Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $676.08 | Professional | None | $51.29 | $51.29 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $281.84 Typical High $758.58 | Facility | None | $169.82 | $281.84 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $281.84 Typical High $426.58 | Professional | None | $239.88 | $281.84 | $426.58 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $63.10 Median $102.33 Typical High $223.87 | Facility | RR · Rental | $63.10 | $102.33 | $223.87 |
Emblem Health Setting Professional Modifier None Typical Low $389.05 Median $489.78 Typical High $489.78 | Professional | None | $389.05 | $489.78 | $489.78 |
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 $436.52 Median $467.74 Typical High $602.56 | Professional | None | $436.52 | $467.74 | $602.56 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $43.65 Median $46.77 Typical High $51.29 | Professional | RR · Rental | $43.65 | $46.77 | $51.29 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $323.59 Median $323.59 Typical High $346.74 | Professional | UE · Used equipment | $323.59 | $323.59 | $346.74 |
Highmark BCBS Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
MVP Health Care Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
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 $239.88 Median $380.19 Typical High $501.19 | Professional | None | $239.88 | $380.19 | $501.19 |
United Setting Professional Modifier RR · Rental Typical Low $23.99 Median $37.15 Typical High $50.12 | Professional | RR · Rental | $23.99 | $37.15 | $50.12 |
United Setting Professional Modifier UE · Used equipment Typical Low $177.83 Median $281.84 Typical High $380.19 | Professional | UE · Used equipment | $177.83 | $281.84 | $380.19 |
Univera Setting Facility Modifier None Typical Low $436.52 Median $489.78 Typical High $512.86 | Facility | None | $436.52 | $489.78 | $512.86 |
Univera Setting Professional Modifier None Typical Low $436.52 Median $489.78 Typical High $602.56 | Professional | None | $436.52 | $489.78 | $602.56 |
Univera Setting Professional Modifier RR · Rental Typical Low $43.65 Median $48.98 Typical High $51.29 | Professional | RR · Rental | $43.65 | $48.98 | $51.29 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $323.59 Median $323.59 Typical High $489.78 | Professional | UE · Used equipment | $323.59 | $323.59 | $489.78 |
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 $512.86 Median $512.86 Typical High $512.86 | Professional | BP · Chose to purchase | $512.86 | $512.86 | $512.86 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | KH · Purchase or 1st rental month | $51.29 | $51.29 | $51.29 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | KU · Bidding program group 3 | $645.65 | $645.65 | $645.65 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | RB · Replacement part | $660.69 | $660.69 | $660.69 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | BP · Chose to purchase | $512.86 | $512.86 | $512.86 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | KH · Purchase or 1st rental month | $51.29 | $51.29 | $51.29 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | KU · Bidding program group 3 | $645.65 | $645.65 | $645.65 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | RB · Replacement part | $660.69 | $660.69 | $660.69 |
Where New York sits
The same service costs 8.9 times more in North Dakota than in Mississippi. 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· 12th of 51
$479
ND $708MS $79.43
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.