How much rates vary
Facilitymedian $19 · 10th to 90th $14 to $35Professionalmedian $17 · 10th to 90th $13 to $19
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 $9.33 Median $12.88 Typical High $20.42 | Facility | None | $9.33 | $12.88 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $20.42 | Professional | None | $12.88 | $12.88 | $20.42 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $9.77 Median $9.77 Typical High $15.14 | Professional | UE · Used equipment | $9.77 | $9.77 | $15.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $41.69 | Facility | None | $20.89 | $20.89 | $41.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $30.90 | Professional | None | $16.98 | $16.98 | $30.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.70 Median $1.70 Typical High $2.88 | Professional | RR · Rental | $1.70 | $1.70 | $2.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | UE · Used equipment | $12.59 | $12.59 | $12.59 |
CDPHP Setting Professional Modifier None Typical Low $2.00 Median $14.79 Typical High $19.50 | Professional | None | $2.00 | $14.79 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $13.80 Typical High $26.30 | Facility | None | $5.89 | $13.80 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $13.80 Typical High $16.22 | Professional | None | $11.75 | $13.80 | $16.22 |
Emblem Health Setting Facility Modifier None Typical Low $20.89 Median $34.67 Typical High $75.86 | Facility | None | $20.89 | $34.67 | $75.86 |
Emblem Health Setting Professional Modifier None Typical Low $12.88 Median $13.49 Typical High $20.89 | Professional | None | $12.88 | $13.49 | $20.89 |
Excellus BCBS Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Excellus BCBS Setting Professional Modifier None Typical Low $16.60 Median $17.78 Typical High $18.62 | Professional | None | $16.60 | $17.78 | $18.62 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $1.66 Median $1.78 Typical High $1.86 | Professional | RR · Rental | $1.66 | $1.78 | $1.86 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.30 Median $12.30 Typical High $13.18 | Professional | UE · Used equipment | $12.30 | $12.30 | $13.18 |
Highmark BCBS Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
MVP Health Care Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
MVP Health Care Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $23.44 | Professional | None | $12.30 | $12.30 | $23.44 |
United Setting Professional Modifier None Typical Low $9.12 Median $14.45 Typical High $18.20 | Professional | None | $9.12 | $14.45 | $18.20 |
United Setting Professional Modifier RR · Rental Typical Low $0.91 Median $1.38 Typical High $1.82 | Professional | RR · Rental | $0.91 | $1.38 | $1.82 |
United Setting Professional Modifier UE · Used equipment Typical Low $6.92 Median $10.23 Typical High $13.80 | Professional | UE · Used equipment | $6.92 | $10.23 | $13.80 |
Univera Setting Facility Modifier None Typical Low $16.60 Median $18.62 Typical High $20.42 | Facility | None | $16.60 | $18.62 | $20.42 |
Univera Setting Professional Modifier None Typical Low $16.60 Median $17.78 Typical High $18.62 | Professional | None | $16.60 | $17.78 | $18.62 |
Univera Setting Professional Modifier RR · Rental Typical Low $1.66 Median $1.78 Typical High $1.86 | Professional | RR · Rental | $1.66 | $1.78 | $1.86 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $12.30 Median $13.18 Typical High $13.18 | Professional | UE · Used equipment | $12.30 | $13.18 | $13.18 |
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 $1.78 Median $1.78 Typical High $1.78 | Professional | KH · Purchase or 1st rental month | $1.78 | $1.78 | $1.78 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | KU · Bidding program group 3 | $20.42 | $20.42 | $20.42 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | KH · Purchase or 1st rental month | $1.78 | $1.78 | $1.78 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | KU · Bidding program group 3 | $20.42 | $20.42 | $20.42 |
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· 20th of 51
$16.98
HI $25.70NM $10.47
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.