How much rates vary
Facilitymedian $56 · 10th to 90th $31 to $79Professionalmedian $42 · 10th to 90th $31 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 $28.18 Median $35.48 Typical High $48.98 | Facility | None | $28.18 | $35.48 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $35.48 Typical High $48.98 | Professional | None | $23.44 | $35.48 | $48.98 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $26.92 Typical High $36.31 | Professional | UE · Used equipment | $17.38 | $26.92 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $89.13 | Facility | None | $44.67 | $44.67 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $75.86 | Professional | None | $37.15 | $37.15 | $75.86 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.80 Median $3.80 Typical High $7.24 | Professional | RR · Rental | $3.80 | $3.80 | $7.24 |
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 $5.13 Median $38.90 Typical High $51.29 | Professional | None | $5.13 | $38.90 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $30.90 Typical High $66.07 | Facility | None | $14.79 | $30.90 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $30.90 Typical High $41.69 | Professional | None | $26.30 | $30.90 | $41.69 |
Emblem Health Setting Facility Modifier None Typical Low $44.67 Median $74.13 Typical High $162.18 | Facility | None | $44.67 | $74.13 | $162.18 |
Emblem Health Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $44.67 | Professional | None | $28.84 | $28.84 | $44.67 |
Excellus BCBS Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Excellus BCBS Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $56.23 | Professional | None | $41.69 | $50.12 | $56.23 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $4.17 Median $5.01 Typical High $5.62 | Professional | RR · Rental | $4.17 | $5.01 | $5.62 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $31.62 Median $37.15 Typical High $39.81 | Professional | UE · Used equipment | $31.62 | $37.15 | $39.81 |
Highmark BCBS Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
MVP Health Care Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
MVP Health Care Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $50.12 | Professional | None | $26.30 | $26.30 | $50.12 |
United Setting Professional Modifier None Typical Low $25.12 Median $36.31 Typical High $51.29 | Professional | None | $25.12 | $36.31 | $51.29 |
United Setting Professional Modifier RR · Rental Typical Low $2.51 Median $3.55 Typical High $5.01 | Professional | RR · Rental | $2.51 | $3.55 | $5.01 |
United Setting Professional Modifier UE · Used equipment Typical Low $18.62 Median $26.92 Typical High $38.02 | Professional | UE · Used equipment | $18.62 | $26.92 | $38.02 |
Univera Setting Facility Modifier None Typical Low $48.98 Median $56.23 Typical High $56.23 | Facility | None | $48.98 | $56.23 | $56.23 |
Univera Setting Professional Modifier None Typical Low $41.69 Median $52.48 Typical High $56.23 | Professional | None | $41.69 | $52.48 | $56.23 |
Univera Setting Professional Modifier RR · Rental Typical Low $4.17 Median $5.37 Typical High $5.62 | Professional | RR · Rental | $4.17 | $5.37 | $5.62 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $31.62 Median $37.15 Typical High $39.81 | Professional | UE · Used equipment | $31.62 | $37.15 | $39.81 |
7 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 KE · Bid item, non-bid base Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | KE · Bid item, non-bid base | $43.65 | $43.65 | $43.65 |
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 $61.66 Median $61.66 Typical High $61.66 | Professional | KU · Bidding program group 3 | $61.66 | $61.66 | $61.66 |
Highmark BCBS Setting Facility Modifier KX · Policy requirements met Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | KX · Policy requirements met | $35.48 | $35.48 | $35.48 |
Univera Setting Professional Modifier KE · Bid item, non-bid base Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | KE · Bid item, non-bid base | $43.65 | $43.65 | $43.65 |
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 $61.66 Median $61.66 Typical High $61.66 | Professional | KU · Bidding program group 3 | $61.66 | $61.66 | $61.66 |
Where New York sits
The same service costs 2.8 times more in Kansas 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· 12th of 51
$46.77
KS $74.13IL $26.30
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.