How much rates vary
Facilitymedian $776 · 10th to 90th $407 to $1,122Professionalmedian $692 · 10th to 90th $427 to $776
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 $389.05 Median $562.34 Typical High $812.83 | Facility | None | $389.05 | $562.34 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $812.83 | Professional | None | $562.34 | $562.34 | $812.83 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $416.87 Median $416.87 Typical High $602.56 | Professional | UE · Used equipment | $416.87 | $416.87 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $1,479.11 | Facility | None | $741.31 | $741.31 | $1,479.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $912.01 | Professional | None | $645.65 | $645.65 | $912.01 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $64.57 Median $64.57 Typical High $117.49 | Professional | RR · Rental | $64.57 | $64.57 | $117.49 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | UE · Used equipment | $489.78 | $489.78 | $489.78 |
CDPHP Setting Professional Modifier None Typical Low $79.43 Median $562.34 Typical High $1,023.29 | Professional | None | $79.43 | $562.34 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $407.38 Typical High $933.25 | Facility | None | $208.93 | $407.38 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $407.38 Typical High $407.38 | Professional | None | $346.74 | $407.38 | $407.38 |
Emblem Health Setting Facility Modifier None Typical Low $851.14 Median $1,122.02 Typical High $1,584.89 | Facility | None | $851.14 | $1,122.02 | $1,584.89 |
Emblem Health Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $741.31 | Professional | None | $489.78 | $489.78 | $741.31 |
Excellus BCBS Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Excellus BCBS Setting Professional Modifier None Typical Low $691.83 Median $741.31 Typical High $776.25 | Professional | None | $691.83 | $741.31 | $776.25 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $69.18 Median $69.18 Typical High $77.62 | Professional | RR · Rental | $69.18 | $69.18 | $77.62 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $512.86 Median $524.81 Typical High $562.34 | Professional | UE · Used equipment | $512.86 | $524.81 | $562.34 |
Highmark BCBS Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
MVP Health Care Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $46.77 Median $46.77 Typical High $89.13 | Professional | RR · Rental | $46.77 | $46.77 | $89.13 |
United Setting Professional Modifier None Typical Low $346.74 Median $436.52 Typical High $724.44 | Professional | None | $346.74 | $436.52 | $724.44 |
United Setting Professional Modifier RR · Rental Typical Low $38.02 Median $56.23 Typical High $74.13 | Professional | RR · Rental | $38.02 | $56.23 | $74.13 |
United Setting Professional Modifier UE · Used equipment Typical Low $257.04 Median $331.13 Typical High $549.54 | Professional | UE · Used equipment | $257.04 | $331.13 | $549.54 |
Univera Setting Facility Modifier None Typical Low $691.83 Median $776.25 Typical High $851.14 | Facility | None | $691.83 | $776.25 | $851.14 |
Univera Setting Professional Modifier None Typical Low $691.83 Median $776.25 Typical High $776.25 | Professional | None | $691.83 | $776.25 | $776.25 |
Univera Setting Professional Modifier RR · Rental Typical Low $69.18 Median $74.13 Typical High $77.62 | Professional | RR · Rental | $69.18 | $74.13 | $77.62 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $512.86 Median $524.81 Typical High $776.25 | Professional | UE · Used equipment | $512.86 | $524.81 | $776.25 |
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 $691.83 Median $691.83 Typical High $691.83 | Professional | BP · Chose to purchase | $691.83 | $691.83 | $691.83 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | KH · Purchase or 1st rental month | $69.18 | $69.18 | $69.18 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | KU · Bidding program group 3 | $1,023.29 | $1,023.29 | $1,023.29 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | RB · Replacement part | $912.01 | $912.01 | $912.01 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | BP · Chose to purchase | $691.83 | $691.83 | $691.83 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | KH · Purchase or 1st rental month | $69.18 | $69.18 | $69.18 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | KU · Bidding program group 3 | $1,023.29 | $1,023.29 | $1,023.29 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | RB · Replacement part | $912.01 | $912.01 | $912.01 |
Where New York sits
The same service costs 3.0 times more in Hawaii than in New Mexico. 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· 11th of 51
$692
HI $1,047NM $347
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.