How much rates vary
Facilitymedian $50 · 10th to 90th $35 to $87Professionalmedian $43 · 10th to 90th $32 to $50
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 $25.12 Median $33.88 Typical High $50.12 | Facility | None | $25.12 | $33.88 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $33.88 Typical High $50.12 | Professional | None | $21.88 | $33.88 | $50.12 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $16.98 Median $25.12 Typical High $37.15 | Professional | UE · Used equipment | $16.98 | $25.12 | $37.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $97.72 | Facility | None | $48.98 | $48.98 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $77.62 | Professional | None | $41.69 | $41.69 | $77.62 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.17 Median $4.17 Typical High $7.41 | Professional | RR · Rental | $4.17 | $4.17 | $7.41 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | UE · Used equipment | $31.62 | $31.62 | $31.62 |
CDPHP Setting Professional Modifier None Typical Low $5.13 Median $38.02 Typical High $50.12 | Professional | None | $5.13 | $38.02 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $34.67 Typical High $66.07 | Facility | None | $14.79 | $34.67 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $34.67 Typical High $40.74 | Professional | None | $29.51 | $34.67 | $40.74 |
Emblem Health Setting Facility Modifier None Typical Low $48.98 Median $81.28 Typical High $177.83 | Facility | None | $48.98 | $81.28 | $177.83 |
Emblem Health Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $48.98 | Professional | None | $31.62 | $31.62 | $48.98 |
Excellus BCBS Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Excellus BCBS Setting Professional Modifier None Typical Low $42.66 Median $44.67 Typical High $50.12 | Professional | None | $42.66 | $44.67 | $50.12 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $4.27 Median $4.47 Typical High $5.01 | Professional | RR · Rental | $4.27 | $4.47 | $5.01 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $32.36 Median $33.11 Typical High $35.48 | Professional | UE · Used equipment | $32.36 | $33.11 | $35.48 |
Highmark BCBS Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
MVP Health Care Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $54.95 | Professional | None | $28.84 | $28.84 | $54.95 |
United Setting Professional Modifier None Typical Low $24.55 Median $35.48 Typical High $46.77 | Professional | None | $24.55 | $35.48 | $46.77 |
United Setting Professional Modifier RR · Rental Typical Low $2.45 Median $3.55 Typical High $4.68 | Professional | RR · Rental | $2.45 | $3.55 | $4.68 |
United Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $26.30 Typical High $35.48 | Professional | UE · Used equipment | $18.20 | $26.30 | $35.48 |
Univera Setting Facility Modifier None Typical Low $44.67 Median $50.12 Typical High $52.48 | Facility | None | $44.67 | $50.12 | $52.48 |
Univera Setting Professional Modifier None Typical Low $42.66 Median $46.77 Typical High $50.12 | Professional | None | $42.66 | $46.77 | $50.12 |
Univera Setting Professional Modifier RR · Rental Typical Low $4.27 Median $4.68 Typical High $5.01 | Professional | RR · Rental | $4.27 | $4.68 | $5.01 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $32.36 Median $33.11 Typical High $35.48 | Professional | UE · Used equipment | $32.36 | $33.11 | $35.48 |
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 $4.27 Median $4.27 Typical High $4.27 | Professional | KH · Purchase or 1st rental month | $4.27 | $4.27 | $4.27 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | KU · Bidding program group 3 | $54.95 | $54.95 | $54.95 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | KH · Purchase or 1st rental month | $4.27 | $4.27 | $4.27 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | KU · Bidding program group 3 | $54.95 | $54.95 | $54.95 |
Where New York sits
The same service costs 2.8 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
$43.65
HI $70.79NM $25.70
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.