How much rates vary
Facilitymedian $123 · 10th to 90th $81 to $209Professionalmedian $107 · 10th to 90th $78 to $132
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 $69.18 Median $91.20 Typical High $123.03 | Facility | None | $69.18 | $91.20 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $91.20 Typical High $123.03 | Professional | None | $60.26 | $91.20 | $123.03 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $44.67 Median $67.61 Typical High $93.33 | Professional | UE · Used equipment | $44.67 | $67.61 | $93.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $229.09 | Facility | None | $114.82 | $114.82 | $229.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $194.98 | Professional | None | $100.00 | $100.00 | $194.98 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $10.00 Median $10.00 Typical High $18.20 | Professional | RR · Rental | $10.00 | $10.00 | $18.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | UE · Used equipment | $74.13 | $74.13 | $74.13 |
CDPHP Setting Professional Modifier None Typical Low $13.18 Median $97.72 Typical High $131.83 | Professional | None | $13.18 | $97.72 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $81.28 Typical High $165.96 | Facility | None | $37.15 | $81.28 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $109.65 | Professional | None | $69.18 | $81.28 | $109.65 |
Emblem Health Setting Facility Modifier None Typical Low $114.82 Median $190.55 Typical High $416.87 | Facility | None | $114.82 | $190.55 | $416.87 |
Emblem Health Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $114.82 | Professional | None | $74.13 | $74.13 | $114.82 |
Excellus BCBS Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Excellus BCBS Setting Professional Modifier None Typical Low $107.15 Median $123.03 Typical High $131.83 | Professional | None | $107.15 | $123.03 | $131.83 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $10.72 Median $12.30 Typical High $13.18 | Professional | RR · Rental | $10.72 | $12.30 | $13.18 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $79.43 Median $93.33 Typical High $97.72 | Professional | UE · Used equipment | $79.43 | $93.33 | $97.72 |
Highmark BCBS Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
MVP Health Care Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
MVP Health Care Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $128.82 | Professional | None | $67.61 | $67.61 | $128.82 |
United Setting Professional Modifier None Typical Low $64.57 Median $89.13 Typical High $128.82 | Professional | None | $64.57 | $89.13 | $128.82 |
United Setting Professional Modifier RR · Rental Typical Low $6.46 Median $8.91 Typical High $12.88 | Professional | RR · Rental | $6.46 | $8.91 | $12.88 |
United Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $67.61 Typical High $95.50 | Professional | UE · Used equipment | $47.86 | $67.61 | $95.50 |
Univera Setting Facility Modifier None Typical Low $120.23 Median $123.03 Typical High $123.03 | Facility | None | $120.23 | $123.03 | $123.03 |
Univera Setting Professional Modifier None Typical Low $107.15 Median $123.03 Typical High $131.83 | Professional | None | $107.15 | $123.03 | $131.83 |
Univera Setting Professional Modifier RR · Rental Typical Low $10.72 Median $12.30 Typical High $13.18 | Professional | RR · Rental | $10.72 | $12.30 | $13.18 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $79.43 Median $93.33 Typical High $97.72 | Professional | UE · Used equipment | $79.43 | $93.33 | $97.72 |
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 $10.72 Median $10.72 Typical High $10.72 | Professional | KH · Purchase or 1st rental month | $10.72 | $10.72 | $10.72 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | KU · Bidding program group 3 | $151.36 | $151.36 | $151.36 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | KH · Purchase or 1st rental month | $10.72 | $10.72 | $10.72 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | KU · Bidding program group 3 | $151.36 | $151.36 | $151.36 |
Where New York sits
The same service costs 3.0 times more in Kansas 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· 12th of 51
$120
KS $195NM $64.57
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.