How much rates vary
Facilitymedian $1,230 · 10th to 90th $646 to $1,479Professionalmedian $1,202 · 10th to 90th $813 to $1,514
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 $616.60 Median $912.01 Typical High $1,479.11 | Facility | None | $616.60 | $912.01 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,479.11 | Professional | None | $912.01 | $912.01 | $1,479.11 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $676.08 Median $676.08 Typical High $1,096.48 | Professional | UE · Used equipment | $676.08 | $676.08 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,548.82 | Professional | None | $1,202.26 | $1,202.26 | $1,548.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $120.23 Median $120.23 Typical High $213.80 | Professional | RR · Rental | $120.23 | $120.23 | $213.80 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | UE · Used equipment | $891.25 | $891.25 | $891.25 |
CDPHP Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $1,698.24 | Professional | None | $128.82 | $128.82 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $645.65 Typical High $1,905.46 | Facility | None | $416.87 | $645.65 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $645.65 Typical High $645.65 | Professional | None | $549.54 | $645.65 | $645.65 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $154.88 Median $257.04 Typical High $562.34 | Facility | RR · Rental | $154.88 | $257.04 | $562.34 |
Emblem Health Setting Professional Modifier None Typical Low $977.24 Median $1,096.48 Typical High $1,230.27 | Professional | None | $977.24 | $1,096.48 | $1,230.27 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,096.48 Median $1,174.90 Typical High $1,513.56 | Professional | None | $1,096.48 | $1,174.90 | $1,513.56 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $109.65 Median $117.49 Typical High $125.89 | Professional | RR · Rental | $109.65 | $117.49 | $125.89 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $812.83 Median $812.83 Typical High $870.96 | Professional | UE · Used equipment | $812.83 | $812.83 | $870.96 |
Highmark BCBS Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
MVP Health Care Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,630.27 | $2,630.27 | $2,630.27 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $91.20 Median $91.20 Typical High $173.78 | Professional | RR · Rental | $91.20 | $91.20 | $173.78 |
United Setting Professional Modifier None Typical Low $602.56 Median $933.25 Typical High $1,258.93 | Professional | None | $602.56 | $933.25 | $1,258.93 |
United Setting Professional Modifier RR · Rental Typical Low $60.26 Median $93.33 Typical High $125.89 | Professional | RR · Rental | $60.26 | $93.33 | $125.89 |
United Setting Professional Modifier UE · Used equipment Typical Low $446.68 Median $691.83 Typical High $954.99 | Professional | UE · Used equipment | $446.68 | $691.83 | $954.99 |
Univera Setting Facility Modifier None Typical Low $1,096.48 Median $1,230.27 Typical High $1,288.25 | Facility | None | $1,096.48 | $1,230.27 | $1,288.25 |
Univera Setting Professional Modifier None Typical Low $1,096.48 Median $1,230.27 Typical High $1,513.56 | Professional | None | $1,096.48 | $1,230.27 | $1,513.56 |
Univera Setting Professional Modifier RR · Rental Typical Low $109.65 Median $123.03 Typical High $125.89 | Professional | RR · Rental | $109.65 | $123.03 | $125.89 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $812.83 Median $812.83 Typical High $1,230.27 | Professional | UE · Used equipment | $812.83 | $812.83 | $1,230.27 |
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | BP · Chose to purchase | $1,258.93 | $1,258.93 | $1,258.93 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | KH · Purchase or 1st rental month | $125.89 | $125.89 | $125.89 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | KU · Bidding program group 3 | $1,621.81 | $1,621.81 | $1,621.81 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | RB · Replacement part | $1,659.59 | $1,659.59 | $1,659.59 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | BP · Chose to purchase | $1,258.93 | $1,258.93 | $1,258.93 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | KH · Purchase or 1st rental month | $125.89 | $125.89 | $125.89 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | KU · Bidding program group 3 | $1,621.81 | $1,621.81 | $1,621.81 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | RB · Replacement part | $1,659.59 | $1,659.59 | $1,659.59 |
Where New York sits
The same service costs 8.7 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
$1,202
ND $1,738MS $200
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.