How much rates vary
Facilitymedian $46 · 10th to 90th $35 to $93Professionalmedian $43 · 10th to 90th $32 to $46
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 $22.91 Median $32.36 Typical High $52.48 | Facility | None | $22.91 | $32.36 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $52.48 | Professional | None | $32.36 | $32.36 | $52.48 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $24.55 Median $24.55 Typical High $38.90 | Professional | UE · Used equipment | $24.55 | $24.55 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $109.65 | Facility | None | $54.95 | $54.95 | $109.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $77.62 | Professional | None | $42.66 | $42.66 | $77.62 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.27 Median $4.27 Typical High $7.08 | Professional | RR · Rental | $4.27 | $4.27 | $7.08 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | UE · Used equipment | $32.36 | $32.36 | $32.36 |
CDPHP Setting Professional Modifier None Typical Low $4.68 Median $34.67 Typical High $46.77 | Professional | None | $4.68 | $34.67 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $35.48 Typical High $67.61 | Facility | None | $14.79 | $35.48 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $35.48 Typical High $38.90 | Professional | None | $29.51 | $35.48 | $38.90 |
Emblem Health Setting Facility Modifier None Typical Low $54.95 Median $91.20 Typical High $199.53 | Facility | None | $54.95 | $91.20 | $199.53 |
Emblem Health Setting Professional Modifier None Typical Low $33.88 Median $35.48 Typical High $54.95 | Professional | None | $33.88 | $35.48 | $54.95 |
Excellus BCBS Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Excellus BCBS Setting Professional Modifier None Typical Low $39.81 Median $42.66 Typical High $45.71 | Professional | None | $39.81 | $42.66 | $45.71 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $3.98 Median $4.27 Typical High $4.47 | Professional | RR · Rental | $3.98 | $4.27 | $4.47 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $30.20 Typical High $33.88 | Professional | UE · Used equipment | $29.51 | $30.20 | $33.88 |
MVP Health Care Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
MVP Health Care Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $61.66 | Professional | None | $32.36 | $32.36 | $61.66 |
United Setting Professional Modifier None Typical Low $21.88 Median $33.11 Typical High $44.67 | Professional | None | $21.88 | $33.11 | $44.67 |
United Setting Professional Modifier RR · Rental Typical Low $2.24 Median $3.31 Typical High $4.47 | Professional | RR · Rental | $2.24 | $3.31 | $4.47 |
United Setting Professional Modifier UE · Used equipment Typical Low $16.60 Median $24.55 Typical High $33.88 | Professional | UE · Used equipment | $16.60 | $24.55 | $33.88 |
Univera Setting Facility Modifier None Typical Low $39.81 Median $45.71 Typical High $47.86 | Facility | None | $39.81 | $45.71 | $47.86 |
Univera Setting Professional Modifier None Typical Low $39.81 Median $44.67 Typical High $45.71 | Professional | None | $39.81 | $44.67 | $45.71 |
Univera Setting Professional Modifier RR · Rental Typical Low $3.98 Median $4.27 Typical High $4.47 | Professional | RR · Rental | $3.98 | $4.27 | $4.47 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $31.62 Typical High $33.88 | Professional | UE · Used equipment | $29.51 | $31.62 | $33.88 |
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 $4.47 Median $4.47 Typical High $4.47 | Professional | KH · Purchase or 1st rental month | $4.47 | $4.47 | $4.47 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | KU · Bidding program group 3 | $50.12 | $50.12 | $50.12 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | KH · Purchase or 1st rental month | $4.47 | $4.47 | $4.47 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | KU · Bidding program group 3 | $50.12 | $50.12 | $50.12 |
Where New York sits
The same service costs 2.5 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· 18th of 51
$42.66
HI $72.44NM $29.51
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.