How much rates vary
Facilitymedian $25 · 10th to 90th $21 to $55Professionalmedian $24 · 10th to 90th $19 to $27
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 $12.59 Median $19.05 Typical High $30.90 | Facility | None | $12.59 | $19.05 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $19.05 Typical High $30.90 | Professional | None | $10.96 | $19.05 | $30.90 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $9.33 Median $14.13 Typical High $23.44 | Professional | UE · Used equipment | $9.33 | $14.13 | $23.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $66.07 | Facility | None | $33.11 | $33.11 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $46.77 | Professional | None | $23.99 | $23.99 | $46.77 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.45 Median $2.45 Typical High $4.47 | Professional | RR · Rental | $2.45 | $2.45 | $4.47 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | UE · Used equipment | $18.20 | $18.20 | $18.20 |
CDPHP Setting Professional Modifier None Typical Low $2.69 Median $20.42 Typical High $26.92 | Professional | None | $2.69 | $20.42 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $21.38 Typical High $40.74 | Facility | None | $9.12 | $21.38 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $21.38 Typical High $25.70 | Professional | None | $17.78 | $21.38 | $25.70 |
Emblem Health Setting Facility Modifier None Typical Low $33.11 Median $54.95 Typical High $120.23 | Facility | None | $33.11 | $54.95 | $120.23 |
Emblem Health Setting Professional Modifier None Typical Low $20.42 Median $21.88 Typical High $33.11 | Professional | None | $20.42 | $21.88 | $33.11 |
Excellus BCBS Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Excellus BCBS Setting Professional Modifier None Typical Low $21.88 Median $23.44 Typical High $26.92 | Professional | None | $21.88 | $23.44 | $26.92 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $2.19 Median $2.34 Typical High $2.69 | Professional | RR · Rental | $2.19 | $2.34 | $2.69 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $16.60 Median $16.60 Typical High $19.95 | Professional | UE · Used equipment | $16.60 | $16.60 | $19.95 |
Highmark BCBS Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
MVP Health Care Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
MVP Health Care Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $37.15 | Professional | None | $19.50 | $19.50 | $37.15 |
United Setting Professional Modifier None Typical Low $12.30 Median $19.95 Typical High $26.92 | Professional | None | $12.30 | $19.95 | $26.92 |
United Setting Professional Modifier RR · Rental Typical Low $1.23 Median $2.00 Typical High $2.69 | Professional | RR · Rental | $1.23 | $2.00 | $2.69 |
United Setting Professional Modifier UE · Used equipment Typical Low $9.12 Median $15.14 Typical High $19.95 | Professional | UE · Used equipment | $9.12 | $15.14 | $19.95 |
Univera Setting Facility Modifier None Typical Low $21.88 Median $25.12 Typical High $26.30 | Facility | None | $21.88 | $25.12 | $26.30 |
Univera Setting Professional Modifier None Typical Low $21.88 Median $25.12 Typical High $26.92 | Professional | None | $21.88 | $25.12 | $26.92 |
Univera Setting Professional Modifier RR · Rental Typical Low $2.19 Median $2.51 Typical High $2.69 | Professional | RR · Rental | $2.19 | $2.51 | $2.69 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $16.60 Median $17.78 Typical High $19.95 | Professional | UE · Used equipment | $16.60 | $17.78 | $19.95 |
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 $2.69 Median $2.69 Typical High $2.69 | Professional | KH · Purchase or 1st rental month | $2.69 | $2.69 | $2.69 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | KU · Bidding program group 3 | $27.54 | $27.54 | $27.54 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | KH · Purchase or 1st rental month | $2.69 | $2.69 | $2.69 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | KU · Bidding program group 3 | $27.54 | $27.54 | $27.54 |
Where New York sits
The same service costs 2.3 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· 17th of 51
$23.99
HI $35.48NM $15.14
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.