How much rates vary
Facilitymedian $47 · 10th to 90th $39 to $100Professionalmedian $46 · 10th to 90th $35 to $50
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 $23.44 Median $34.67 Typical High $57.54 | Facility | None | $23.44 | $34.67 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $57.54 | Professional | None | $34.67 | $34.67 | $57.54 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $17.78 Median $26.30 Typical High $42.66 | Professional | UE · Used equipment | $17.78 | $26.30 | $42.66 |
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 $45.71 Median $45.71 Typical High $87.10 | Professional | None | $45.71 | $45.71 | $87.10 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.57 Median $4.57 Typical High $7.59 | Professional | RR · Rental | $4.57 | $4.57 | $7.59 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | UE · Used equipment | $33.88 | $33.88 | $33.88 |
CDPHP Setting Professional Modifier None Typical Low $5.01 Median $38.02 Typical High $50.12 | Professional | None | $5.01 | $38.02 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $38.90 Typical High $75.86 | Facility | None | $16.60 | $38.90 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $51.29 | Professional | None | $33.11 | $38.90 | $51.29 |
Emblem Health Setting Facility Modifier None Typical Low $61.66 Median $100.00 Typical High $223.87 | Facility | None | $61.66 | $100.00 | $223.87 |
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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Excellus BCBS Setting Professional Modifier None Typical Low $41.69 Median $44.67 Typical High $50.12 | Professional | None | $41.69 | $44.67 | $50.12 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $4.17 Median $4.47 Typical High $5.01 | Professional | RR · Rental | $4.17 | $4.47 | $5.01 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $31.62 Typical High $37.15 | Professional | UE · Used equipment | $30.90 | $31.62 | $37.15 |
Highmark BCBS Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
MVP Health Care Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
MVP Health Care Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $69.18 | Professional | None | $36.31 | $36.31 | $69.18 |
United Setting Professional Modifier None Typical Low $22.91 Median $37.15 Typical High $48.98 | Professional | None | $22.91 | $37.15 | $48.98 |
United Setting Professional Modifier RR · Rental Typical Low $2.29 Median $3.72 Typical High $4.90 | Professional | RR · Rental | $2.29 | $3.72 | $4.90 |
United Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $27.54 Typical High $37.15 | Professional | UE · Used equipment | $17.38 | $27.54 | $37.15 |
Univera Setting Facility Modifier None Typical Low $40.74 Median $46.77 Typical High $46.77 | Facility | None | $40.74 | $46.77 | $46.77 |
Univera Setting Professional Modifier None Typical Low $41.69 Median $46.77 Typical High $50.12 | Professional | None | $41.69 | $46.77 | $50.12 |
Univera Setting Professional Modifier RR · Rental Typical Low $4.17 Median $4.68 Typical High $5.01 | Professional | RR · Rental | $4.17 | $4.68 | $5.01 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $33.11 Typical High $37.15 | Professional | UE · Used equipment | $30.90 | $33.11 | $37.15 |
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 $5.01 Median $5.01 Typical High $5.01 | Professional | KH · Purchase or 1st rental month | $5.01 | $5.01 | $5.01 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | KU · Bidding program group 3 | $51.29 | $51.29 | $51.29 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | KH · Purchase or 1st rental month | $5.01 | $5.01 | $5.01 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | KU · Bidding program group 3 | $51.29 | $51.29 | $51.29 |
Where New York sits
The same service costs 2.3 times more in Hawaii 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· 22nd of 51
$45.71
HI $66.07NM $28.18
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.