How much rates vary
Facilitymedian $74 · 10th to 90th $49 to $123Professionalmedian $62 · 10th to 90th $46 to $74
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 $37.15 Median $50.12 Typical High $70.79 | Facility | None | $37.15 | $50.12 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $70.79 | Professional | None | $50.12 | $50.12 | $70.79 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $37.15 Median $37.15 Typical High $53.70 | Professional | UE · Used equipment | $37.15 | $37.15 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $138.04 | Facility | None | $69.18 | $69.18 | $138.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $112.20 | Professional | None | $58.88 | $58.88 | $112.20 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.89 Median $5.89 Typical High $10.47 | Professional | RR · Rental | $5.89 | $5.89 | $10.47 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | UE · Used equipment | $44.67 | $44.67 | $44.67 |
CDPHP Setting Professional Modifier None Typical Low $7.41 Median $54.95 Typical High $74.13 | Professional | None | $7.41 | $54.95 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $48.98 Typical High $93.33 | Facility | None | $20.89 | $48.98 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $48.98 Typical High $57.54 | Professional | None | $41.69 | $48.98 | $57.54 |
Emblem Health Setting Facility Modifier None Typical Low $69.18 Median $114.82 Typical High $251.19 | Facility | None | $69.18 | $114.82 | $251.19 |
Emblem Health Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $69.18 | Professional | None | $44.67 | $44.67 | $69.18 |
Excellus BCBS Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Excellus BCBS Setting Professional Modifier None Typical Low $61.66 Median $66.07 Typical High $74.13 | Professional | None | $61.66 | $66.07 | $74.13 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $6.17 Median $6.61 Typical High $7.41 | Professional | RR · Rental | $6.17 | $6.61 | $7.41 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $46.77 Median $48.98 Typical High $52.48 | Professional | UE · Used equipment | $46.77 | $48.98 | $52.48 |
MVP Health Care Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
MVP Health Care Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $77.62 | Professional | None | $40.74 | $40.74 | $77.62 |
United Setting Professional Modifier None Typical Low $36.31 Median $51.29 Typical High $69.18 | Professional | None | $36.31 | $51.29 | $69.18 |
United Setting Professional Modifier RR · Rental Typical Low $3.63 Median $5.13 Typical High $6.92 | Professional | RR · Rental | $3.63 | $5.13 | $6.92 |
United Setting Professional Modifier UE · Used equipment Typical Low $26.92 Median $38.02 Typical High $51.29 | Professional | UE · Used equipment | $26.92 | $38.02 | $51.29 |
Univera Setting Facility Modifier None Typical Low $66.07 Median $74.13 Typical High $77.62 | Facility | None | $66.07 | $74.13 | $77.62 |
Univera Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $74.13 | Professional | None | $61.66 | $69.18 | $74.13 |
Univera Setting Professional Modifier RR · Rental Typical Low $6.17 Median $6.92 Typical High $7.41 | Professional | RR · Rental | $6.17 | $6.92 | $7.41 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $46.77 Median $48.98 Typical High $52.48 | Professional | UE · Used equipment | $46.77 | $48.98 | $52.48 |
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 $6.17 Median $6.17 Typical High $6.17 | Professional | KH · Purchase or 1st rental month | $6.17 | $6.17 | $6.17 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | KU · Bidding program group 3 | $81.28 | $81.28 | $81.28 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | KH · Purchase or 1st rental month | $6.17 | $6.17 | $6.17 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | KU · Bidding program group 3 | $81.28 | $81.28 | $81.28 |
Where New York sits
The same service costs 2.5 times more in Hawaii than in Illinois. 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· 19th of 51
$64.57
HI $102IL $40.74
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.