How much rates vary
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 $263.03 Median $354.81 Typical High $524.81 | Facility | None | $263.03 | $354.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $354.81 Typical High $524.81 | Professional | None | $239.88 | $354.81 | $524.81 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $263.03 Median $263.03 Typical High $398.11 | Professional | UE · Used equipment | $263.03 | $263.03 | $398.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $1,047.13 | Facility | None | $524.81 | $524.81 | $1,047.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $812.83 | Professional | None | $426.58 | $426.58 | $812.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $42.66 Median $42.66 Typical High $77.62 | Professional | RR · Rental | $42.66 | $42.66 | $77.62 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | UE · Used equipment | $323.59 | $323.59 | $323.59 |
CDPHP Setting Professional Modifier None Typical Low $52.48 Median $398.11 Typical High $524.81 | Professional | None | $52.48 | $398.11 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $354.81 Typical High $676.08 | Facility | None | $151.36 | $354.81 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $354.81 Typical High $467.74 | Professional | None | $302.00 | $354.81 | $467.74 |
Emblem Health Setting Facility Modifier None Typical Low $524.81 Median $851.14 Typical High $1,862.09 | Facility | None | $524.81 | $851.14 | $1,862.09 |
Emblem Health Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $524.81 | Professional | None | $338.84 | $338.84 | $524.81 |
Excellus BCBS Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Excellus BCBS Setting Professional Modifier None Typical Low $457.09 Median $467.74 Typical High $524.81 | Professional | None | $457.09 | $467.74 | $524.81 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $45.71 Median $46.77 Typical High $52.48 | Professional | RR · Rental | $45.71 | $46.77 | $52.48 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $338.84 Median $354.81 Typical High $371.54 | Professional | UE · Used equipment | $338.84 | $354.81 | $371.54 |
MVP Health Care Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
MVP Health Care Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $588.84 | Professional | None | $302.00 | $302.00 | $588.84 |
United Setting Professional Modifier None Typical Low $257.04 Median $371.54 Typical High $501.19 | Professional | None | $257.04 | $371.54 | $501.19 |
United Setting Professional Modifier RR · Rental Typical Low $25.70 Median $37.15 Typical High $50.12 | Professional | RR · Rental | $25.70 | $37.15 | $50.12 |
United Setting Professional Modifier UE · Used equipment Typical Low $190.55 Median $281.84 Typical High $371.54 | Professional | UE · Used equipment | $190.55 | $281.84 | $371.54 |
Univera Setting Facility Modifier None Typical Low $457.09 Median $524.81 Typical High $524.81 | Facility | None | $457.09 | $524.81 | $524.81 |
Univera Setting Professional Modifier None Typical Low $457.09 Median $501.19 Typical High $524.81 | Professional | None | $457.09 | $501.19 | $524.81 |
Univera Setting Professional Modifier RR · Rental Typical Low $45.71 Median $50.12 Typical High $52.48 | Professional | RR · Rental | $45.71 | $50.12 | $52.48 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $338.84 Median $354.81 Typical High $371.54 | Professional | UE · Used equipment | $338.84 | $354.81 | $371.54 |
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 $45.71 Median $45.71 Typical High $45.71 | Professional | KH · Purchase or 1st rental month | $45.71 | $45.71 | $45.71 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | KU · Bidding program group 3 | $575.44 | $575.44 | $575.44 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | KH · Purchase or 1st rental month | $45.71 | $45.71 | $45.71 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | KU · Bidding program group 3 | $575.44 | $575.44 | $575.44 |
Where New York sits
The same service costs 2.7 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· 18th of 51
$457
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.