How much rates vary
Facilitymedian $288 · 10th to 90th $126 to $339Professionalmedian $195 · 10th to 90th $135 to $288
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 $144.54 Median $169.82 Typical High $223.87 | Facility | None | $144.54 | $169.82 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $169.82 Typical High $223.87 | Professional | None | $123.03 | $169.82 | $223.87 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $93.33 Median $125.89 Typical High $165.96 | Professional | UE · Used equipment | $93.33 | $125.89 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $380.19 | Facility | None | $190.55 | $190.55 | $380.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $346.74 | Professional | None | $151.36 | $151.36 | $346.74 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $15.14 Median $15.14 Typical High $32.36 | Professional | RR · Rental | $15.14 | $15.14 | $32.36 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | UE · Used equipment | $114.82 | $114.82 | $114.82 |
CDPHP Setting Professional Modifier None Typical Low $23.99 Median $181.97 Typical High $239.88 | Professional | None | $23.99 | $181.97 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $125.89 Typical High $338.84 | Facility | None | $75.86 | $125.89 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $169.82 | Professional | None | $107.15 | $125.89 | $169.82 |
Emblem Health Setting Facility Modifier None Typical Low $190.55 Median $309.03 Typical High $676.08 | Facility | None | $190.55 | $309.03 | $676.08 |
Emblem Health Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $194.98 | Professional | None | $123.03 | $123.03 | $194.98 |
Excellus BCBS Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Excellus BCBS Setting Professional Modifier None Typical Low $190.55 Median $257.04 Typical High $288.40 | Professional | None | $190.55 | $257.04 | $288.40 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $19.05 Median $25.70 Typical High $28.84 | Professional | RR · Rental | $19.05 | $25.70 | $28.84 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $144.54 Median $190.55 Typical High $204.17 | Professional | UE · Used equipment | $144.54 | $190.55 | $204.17 |
Highmark BCBS Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
MVP Health Care Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
MVP Health Care Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $208.93 | Professional | None | $109.65 | $109.65 | $208.93 |
United Setting Professional Modifier None Typical Low $112.20 Median $177.83 Typical High $257.04 | Professional | None | $112.20 | $177.83 | $257.04 |
United Setting Professional Modifier RR · Rental Typical Low $11.22 Median $16.98 Typical High $24.55 | Professional | RR · Rental | $11.22 | $16.98 | $24.55 |
United Setting Professional Modifier UE · Used equipment Typical Low $85.11 Median $128.82 Typical High $181.97 | Professional | UE · Used equipment | $85.11 | $128.82 | $181.97 |
Univera Setting Facility Modifier None Typical Low $251.19 Median $288.40 Typical High $288.40 | Facility | None | $251.19 | $288.40 | $288.40 |
Univera Setting Professional Modifier None Typical Low $190.55 Median $269.15 Typical High $288.40 | Professional | None | $190.55 | $269.15 | $288.40 |
Univera Setting Professional Modifier RR · Rental Typical Low $19.05 Median $26.92 Typical High $28.84 | Professional | RR · Rental | $19.05 | $26.92 | $28.84 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $144.54 Median $190.55 Typical High $204.17 | Professional | UE · Used equipment | $144.54 | $190.55 | $204.17 |
6 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 $199.53 Median $199.53 Typical High $199.53 | Professional | KE · Bid item, non-bid base | $199.53 | $199.53 | $199.53 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | KH · Purchase or 1st rental month | $19.05 | $19.05 | $19.05 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | KU · Bidding program group 3 | $316.23 | $316.23 | $316.23 |
Univera Setting Professional Modifier KE · Bid item, non-bid base Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | KE · Bid item, non-bid base | $199.53 | $199.53 | $199.53 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | KH · Purchase or 1st rental month | $19.05 | $19.05 | $19.05 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | KU · Bidding program group 3 | $316.23 | $316.23 | $316.23 |
Where New York sits
The same service costs 3.0 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· 7th of 51
$219
KS $331IL $112
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.