How much rates vary
Facilitymedian $245 · 10th to 90th $166 to $427Professionalmedian $214 · 10th to 90th $158 to $245
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 $123.03 Median $165.96 Typical High $245.47 | Facility | None | $123.03 | $165.96 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $165.96 Typical High $245.47 | Professional | None | $107.15 | $165.96 | $245.47 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $79.43 Median $125.89 Typical High $186.21 | Professional | UE · Used equipment | $79.43 | $125.89 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $489.78 | Facility | None | $245.47 | $245.47 | $489.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $380.19 | Professional | None | $204.17 | $204.17 | $380.19 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $20.42 Median $20.42 Typical High $36.31 | Professional | RR · Rental | $20.42 | $20.42 | $36.31 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | UE · Used equipment | $151.36 | $151.36 | $151.36 |
CDPHP Setting Professional Modifier None Typical Low $24.55 Median $186.21 Typical High $245.47 | Professional | None | $24.55 | $186.21 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $165.96 Typical High $316.23 | Facility | None | $70.79 | $165.96 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $165.96 Typical High $218.78 | Professional | None | $141.25 | $165.96 | $218.78 |
Emblem Health Setting Facility Modifier None Typical Low $245.47 Median $407.38 Typical High $891.25 | Facility | None | $245.47 | $407.38 | $891.25 |
Emblem Health Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $245.47 | Professional | None | $158.49 | $158.49 | $245.47 |
Excellus BCBS Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Excellus BCBS Setting Professional Modifier None Typical Low $213.80 Median $218.78 Typical High $245.47 | Professional | None | $213.80 | $218.78 | $245.47 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $21.38 Median $21.88 Typical High $24.55 | Professional | RR · Rental | $21.38 | $21.88 | $24.55 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $162.18 Median $165.96 Typical High $173.78 | Professional | UE · Used equipment | $162.18 | $165.96 | $173.78 |
Highmark BCBS Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
MVP Health Care Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
MVP Health Care Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $275.42 | Professional | None | $144.54 | $144.54 | $275.42 |
United Setting Professional Modifier None Typical Low $120.23 Median $173.78 Typical High $234.42 | Professional | None | $120.23 | $173.78 | $234.42 |
United Setting Professional Modifier RR · Rental Typical Low $12.02 Median $17.38 Typical High $23.44 | Professional | RR · Rental | $12.02 | $17.38 | $23.44 |
United Setting Professional Modifier UE · Used equipment Typical Low $89.13 Median $131.83 Typical High $173.78 | Professional | UE · Used equipment | $89.13 | $131.83 | $173.78 |
Univera Setting Facility Modifier None Typical Low $218.78 Median $245.47 Typical High $281.84 | Facility | None | $218.78 | $245.47 | $281.84 |
Univera Setting Professional Modifier None Typical Low $213.80 Median $234.42 Typical High $245.47 | Professional | None | $213.80 | $234.42 | $245.47 |
Univera Setting Professional Modifier RR · Rental Typical Low $21.38 Median $23.44 Typical High $24.55 | Professional | RR · Rental | $21.38 | $23.44 | $24.55 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $162.18 Median $165.96 Typical High $173.78 | Professional | UE · Used equipment | $162.18 | $165.96 | $173.78 |
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 $21.38 Median $21.38 Typical High $21.38 | Professional | KH · Purchase or 1st rental month | $21.38 | $21.38 | $21.38 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | KU · Bidding program group 3 | $269.15 | $269.15 | $269.15 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | KH · Purchase or 1st rental month | $21.38 | $21.38 | $21.38 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | KU · Bidding program group 3 | $269.15 | $269.15 | $269.15 |
Where New York sits
The same service costs 2.7 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· 20th of 51
$214
HI $347IL $129
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.