How much rates vary
Facilitymedian $46 · 10th to 90th $38 to $100Professionalmedian $45 · 10th to 90th $34 to $49
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 $33.88 Typical High $56.23 | Facility | None | $22.91 | $33.88 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $56.23 | Professional | None | $33.88 | $33.88 | $56.23 |
Aetna Setting Professional Modifier RR · Rental Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | RR · Rental | $3.47 | $3.47 | $3.47 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $25.70 Median $25.70 Typical High $41.69 | Professional | UE · Used equipment | $25.70 | $25.70 | $41.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $120.23 | Facility | None | $58.88 | $58.88 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $83.18 | Professional | None | $44.67 | $44.67 | $83.18 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.47 Median $4.47 Typical High $8.13 | Professional | RR · Rental | $4.47 | $4.47 | $8.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | UE · Used equipment | $33.88 | $33.88 | $33.88 |
CDPHP Setting Professional Modifier None Typical Low $4.90 Median $37.15 Typical High $48.98 | Professional | None | $4.90 | $37.15 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $38.02 Typical High $72.44 | Facility | None | $16.22 | $38.02 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $40.74 | Professional | None | $32.36 | $38.02 | $40.74 |
Emblem Health Setting Facility Modifier None Typical Low $58.88 Median $97.72 Typical High $213.80 | Facility | None | $58.88 | $97.72 | $213.80 |
Emblem Health Setting Professional Modifier None Typical Low $37.15 Median $38.90 Typical High $58.88 | Professional | None | $37.15 | $38.90 | $58.88 |
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 $40.74 Median $43.65 Typical High $47.86 | Professional | None | $40.74 | $43.65 | $47.86 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $4.07 Median $4.37 Typical High $4.79 | Professional | RR · Rental | $4.07 | $4.37 | $4.79 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $30.20 Median $30.20 Typical High $36.31 | Professional | UE · Used equipment | $30.20 | $30.20 | $36.31 |
MVP Health Care Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
MVP Health Care Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $66.07 | Professional | None | $34.67 | $34.67 | $66.07 |
United Setting Professional Modifier None Typical Low $22.39 Median $36.31 Typical High $47.86 | Professional | None | $22.39 | $36.31 | $47.86 |
United Setting Professional Modifier RR · Rental Typical Low $2.24 Median $3.55 Typical High $4.79 | Professional | RR · Rental | $2.24 | $3.55 | $4.79 |
United Setting Professional Modifier UE · Used equipment Typical Low $16.98 Median $26.92 Typical High $36.31 | Professional | UE · Used equipment | $16.98 | $26.92 | $36.31 |
Univera Setting Facility Modifier None Typical Low $40.74 Median $45.71 Typical High $47.86 | Facility | None | $40.74 | $45.71 | $47.86 |
Univera Setting Professional Modifier None Typical Low $40.74 Median $45.71 Typical High $47.86 | Professional | None | $40.74 | $45.71 | $47.86 |
Univera Setting Professional Modifier RR · Rental Typical Low $4.07 Median $4.57 Typical High $4.79 | Professional | RR · Rental | $4.07 | $4.57 | $4.79 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $30.20 Median $32.36 Typical High $36.31 | Professional | UE · Used equipment | $30.20 | $32.36 | $36.31 |
5 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | MS · Maintenance fee | $3.47 | $3.47 | $3.47 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | KH · Purchase or 1st rental month | $4.79 | $4.79 | $4.79 |
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 $4.79 Median $4.79 Typical High $4.79 | Professional | KH · Purchase or 1st rental month | $4.79 | $4.79 | $4.79 |
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 2.2 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· 20th of 51
$44.67
HI $63.10IL $28.84
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.