How much rates vary
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 $281.84 Median $416.87 Typical High $630.96 | Facility | None | $281.84 | $416.87 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $630.96 | Professional | None | $416.87 | $416.87 | $630.96 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $316.23 Median $316.23 Typical High $478.63 | Professional | UE · Used equipment | $316.23 | $316.23 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $489.78 | Professional | None | $199.53 | $199.53 | $489.78 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $19.95 Median $19.95 Typical High $79.43 | Professional | RR · Rental | $19.95 | $19.95 | $79.43 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | UE · Used equipment | $151.36 | $151.36 | $151.36 |
CDPHP Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $776.25 | Professional | None | $58.88 | $58.88 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $446.68 Typical High $812.83 | Facility | None | $181.97 | $446.68 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $446.68 Typical High $446.68 | Professional | None | $380.19 | $446.68 | $446.68 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $67.61 Median $112.20 Typical High $245.47 | Facility | RR · Rental | $67.61 | $112.20 | $245.47 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $41.69 Median $50.12 Typical High $72.44 | Professional | RR · Rental | $41.69 | $50.12 | $72.44 |
Excellus BCBS Setting Professional Modifier None Typical Low $44.67 Median $457.09 Typical High $660.69 | Professional | None | $44.67 | $457.09 | $660.69 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $45.71 Median $47.86 Typical High $54.95 | Professional | RR · Rental | $45.71 | $47.86 | $54.95 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $331.13 Median $338.84 Typical High $363.08 | Professional | UE · Used equipment | $331.13 | $338.84 | $363.08 |
Highmark BCBS Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $39.81 Median $39.81 Typical High $75.86 | Professional | RR · Rental | $39.81 | $39.81 | $75.86 |
United Setting Professional Modifier None Typical Low $234.42 Median $426.58 Typical High $549.54 | Professional | None | $234.42 | $426.58 | $549.54 |
United Setting Professional Modifier RR · Rental Typical Low $23.44 Median $41.69 Typical High $54.95 | Professional | RR · Rental | $23.44 | $41.69 | $54.95 |
United Setting Professional Modifier UE · Used equipment Typical Low $177.83 Median $316.23 Typical High $407.38 | Professional | UE · Used equipment | $177.83 | $316.23 | $407.38 |
Univera Setting Facility Modifier None Typical Low $446.68 Median $457.09 Typical High $457.09 | Facility | None | $446.68 | $457.09 | $457.09 |
Univera Setting Professional Modifier None Typical Low $44.67 Median $457.09 Typical High $660.69 | Professional | None | $44.67 | $457.09 | $660.69 |
Univera Setting Professional Modifier RR · Rental Typical Low $45.71 Median $47.86 Typical High $54.95 | Professional | RR · Rental | $45.71 | $47.86 | $54.95 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $331.13 Median $338.84 Typical High $363.08 | Professional | UE · Used equipment | $331.13 | $338.84 | $363.08 |
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 $549.54 Median $549.54 Typical High $549.54 | Professional | BP · Chose to purchase | $549.54 | $549.54 | $549.54 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | KH · Purchase or 1st rental month | $54.95 | $54.95 | $54.95 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | KU · Bidding program group 3 | $707.95 | $707.95 | $707.95 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | RB · Replacement part | $707.95 | $707.95 | $707.95 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | BP · Chose to purchase | $549.54 | $549.54 | $549.54 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | KH · Purchase or 1st rental month | $54.95 | $54.95 | $54.95 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | KU · Bidding program group 3 | $707.95 | $707.95 | $707.95 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | RB · Replacement part | $707.95 | $707.95 | $707.95 |
Where New York sits
The same service costs 11.5 times more in Kansas 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· 20th of 51
$447
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.