How much rates vary
Facilitymedian $39 · 10th to 90th $33 to $85Professionalmedian $38 · 10th to 90th $30 to $42
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 $19.50 Median $29.51 Typical High $47.86 | Facility | None | $19.50 | $29.51 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $47.86 | Professional | None | $29.51 | $29.51 | $47.86 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $21.88 Median $21.88 Typical High $36.31 | Professional | UE · Used equipment | $21.88 | $21.88 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $102.33 | Facility | None | $51.29 | $51.29 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $70.79 | Professional | None | $38.02 | $38.02 | $70.79 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.80 Median $3.80 Typical High $6.61 | Professional | RR · Rental | $3.80 | $3.80 | $6.61 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | UE · Used equipment | $28.18 | $28.18 | $28.18 |
CDPHP Setting Professional Modifier None Typical Low $4.17 Median $31.62 Typical High $41.69 | Professional | None | $4.17 | $31.62 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $33.11 Typical High $63.10 | Facility | None | $14.13 | $33.11 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $35.48 | Professional | None | $28.18 | $33.11 | $35.48 |
Emblem Health Setting Facility Modifier None Typical Low $51.29 Median $85.11 Typical High $186.21 | Facility | None | $51.29 | $85.11 | $186.21 |
Emblem Health Setting Professional Modifier None Typical Low $31.62 Median $33.11 Typical High $51.29 | Professional | None | $31.62 | $33.11 | $51.29 |
Excellus BCBS Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Excellus BCBS Setting Professional Modifier None Typical Low $34.67 Median $36.31 Typical High $41.69 | Professional | None | $34.67 | $36.31 | $41.69 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $3.47 Median $3.72 Typical High $4.17 | Professional | RR · Rental | $3.47 | $3.72 | $4.17 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $25.70 Median $25.70 Typical High $30.90 | Professional | UE · Used equipment | $25.70 | $25.70 | $30.90 |
MVP Health Care Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
MVP Health Care Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $57.54 | Professional | None | $30.20 | $30.20 | $57.54 |
United Setting Professional Modifier None Typical Low $19.05 Median $30.90 Typical High $41.69 | Professional | None | $19.05 | $30.90 | $41.69 |
United Setting Professional Modifier RR · Rental Typical Low $1.91 Median $3.09 Typical High $4.17 | Professional | RR · Rental | $1.91 | $3.09 | $4.17 |
United Setting Professional Modifier UE · Used equipment Typical Low $14.45 Median $23.44 Typical High $30.90 | Professional | UE · Used equipment | $14.45 | $23.44 | $30.90 |
Univera Setting Facility Modifier None Typical Low $34.67 Median $38.90 Typical High $42.66 | Facility | None | $34.67 | $38.90 | $42.66 |
Univera Setting Professional Modifier None Typical Low $34.67 Median $38.90 Typical High $41.69 | Professional | None | $34.67 | $38.90 | $41.69 |
Univera Setting Professional Modifier RR · Rental Typical Low $3.47 Median $3.89 Typical High $4.17 | Professional | RR · Rental | $3.47 | $3.89 | $4.17 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $25.70 Median $27.54 Typical High $30.90 | Professional | UE · Used equipment | $25.70 | $27.54 | $30.90 |
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 $4.17 Median $4.17 Typical High $4.17 | Professional | KH · Purchase or 1st rental month | $4.17 | $4.17 | $4.17 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | KU · Bidding program group 3 | $42.66 | $42.66 | $42.66 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | KH · Purchase or 1st rental month | $4.17 | $4.17 | $4.17 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | KU · Bidding program group 3 | $42.66 | $42.66 | $42.66 |
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· 23rd of 51
$38.02
HI $54.95NM $23.44
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.