How much rates vary
Facilitymedian $52 · 10th to 90th $43 to $110Professionalmedian $51 · 10th to 90th $36 to $56
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 $30.20 Median $36.31 Typical High $58.88 | Facility | None | $30.20 | $36.31 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $58.88 | Professional | None | $36.31 | $36.31 | $58.88 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $27.54 Typical High $44.67 | Professional | UE · Used equipment | $27.54 | $27.54 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $123.03 | Facility | None | $61.66 | $61.66 | $123.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $89.13 | Professional | None | $52.48 | $52.48 | $89.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.25 Median $5.25 Typical High $8.51 | Professional | RR · Rental | $5.25 | $5.25 | $8.51 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | UE · Used equipment | $38.90 | $38.90 | $38.90 |
CDPHP Setting Professional Modifier None Typical Low $5.89 Median $42.66 Typical High $56.23 | Professional | None | $5.89 | $42.66 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $42.66 Typical High $81.28 | Facility | None | $18.20 | $42.66 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $48.98 | Professional | None | $36.31 | $42.66 | $48.98 |
Emblem Health Setting Facility Modifier None Typical Low $61.66 Median $100.00 Typical High $218.78 | Facility | None | $61.66 | $100.00 | $218.78 |
Emblem Health Setting Professional Modifier None Typical Low $38.02 Median $39.81 Typical High $61.66 | Professional | None | $38.02 | $39.81 | $61.66 |
Excellus BCBS Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Excellus BCBS Setting Professional Modifier None Typical Low $46.77 Median $50.12 Typical High $52.48 | Professional | None | $46.77 | $50.12 | $52.48 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $4.90 Median $5.13 Typical High $5.25 | Professional | RR · Rental | $4.90 | $5.13 | $5.25 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $34.67 Median $35.48 Typical High $38.02 | Professional | UE · Used equipment | $34.67 | $35.48 | $38.02 |
MVP Health Care Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
MVP Health Care Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $67.61 | Professional | None | $35.48 | $35.48 | $67.61 |
United Setting Professional Modifier None Typical Low $29.51 Median $40.74 Typical High $54.95 | Professional | None | $29.51 | $40.74 | $54.95 |
United Setting Professional Modifier RR · Rental Typical Low $3.09 Median $4.27 Typical High $5.62 | Professional | RR · Rental | $3.09 | $4.27 | $5.62 |
United Setting Professional Modifier UE · Used equipment Typical Low $22.39 Median $30.90 Typical High $40.74 | Professional | UE · Used equipment | $22.39 | $30.90 | $40.74 |
Univera Setting Facility Modifier None Typical Low $46.77 Median $52.48 Typical High $57.54 | Facility | None | $46.77 | $52.48 | $57.54 |
Univera Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $52.48 | Professional | None | $46.77 | $51.29 | $52.48 |
Univera Setting Professional Modifier RR · Rental Typical Low $4.90 Median $5.13 Typical High $5.25 | Professional | RR · Rental | $4.90 | $5.13 | $5.25 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $34.67 Median $37.15 Typical High $38.02 | Professional | UE · Used equipment | $34.67 | $37.15 | $38.02 |
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 $5.13 Median $5.13 Typical High $5.13 | Professional | KH · Purchase or 1st rental month | $5.13 | $5.13 | $5.13 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | KU · Bidding program group 3 | $57.54 | $57.54 | $57.54 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | KH · Purchase or 1st rental month | $5.13 | $5.13 | $5.13 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | KU · Bidding program group 3 | $57.54 | $57.54 | $57.54 |
Where New York sits
The same service costs 5.0 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· 22nd of 51
$51.29
HI $162IL $32.36
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.