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 $194.98 Median $281.84 Typical High $457.09 | Facility | None | $194.98 | $281.84 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $457.09 | Professional | None | $281.84 | $281.84 | $457.09 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $213.80 Median $213.80 Typical High $346.74 | Professional | UE · Used equipment | $213.80 | $213.80 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $977.24 | Facility | None | $489.78 | $489.78 | $977.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $691.83 | Professional | None | $371.54 | $371.54 | $691.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $37.15 Median $37.15 Typical High $63.10 | Professional | RR · Rental | $37.15 | $37.15 | $63.10 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | UE · Used equipment | $281.84 | $281.84 | $281.84 |
CDPHP Setting Professional Modifier None Typical Low $40.74 Median $309.03 Typical High $407.38 | Professional | None | $40.74 | $309.03 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $331.13 Typical High $602.56 | Facility | None | $131.83 | $331.13 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $354.81 | Professional | None | $281.84 | $331.13 | $354.81 |
Emblem Health Setting Facility Modifier None Typical Low $489.78 Median $812.83 Typical High $1,778.28 | Facility | None | $489.78 | $812.83 | $1,778.28 |
Emblem Health Setting Professional Modifier None Typical Low $302.00 Median $316.23 Typical High $489.78 | Professional | None | $302.00 | $316.23 | $489.78 |
Excellus BCBS Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Excellus BCBS Setting Professional Modifier None Typical Low $309.03 Median $331.13 Typical High $398.11 | Professional | None | $309.03 | $331.13 | $398.11 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $30.90 Median $33.11 Typical High $39.81 | Professional | RR · Rental | $30.90 | $33.11 | $39.81 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $229.09 Median $234.42 Typical High $302.00 | Professional | UE · Used equipment | $229.09 | $234.42 | $302.00 |
MVP Health Care Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
MVP Health Care Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $549.54 | Professional | None | $288.40 | $288.40 | $549.54 |
United Setting Professional Modifier None Typical Low $190.55 Median $288.40 Typical High $398.11 | Professional | None | $190.55 | $288.40 | $398.11 |
United Setting Professional Modifier RR · Rental Typical Low $19.05 Median $29.51 Typical High $39.81 | Professional | RR · Rental | $19.05 | $29.51 | $39.81 |
United Setting Professional Modifier UE · Used equipment Typical Low $141.25 Median $218.78 Typical High $295.12 | Professional | UE · Used equipment | $141.25 | $218.78 | $295.12 |
Univera Setting Facility Modifier None Typical Low $309.03 Median $389.05 Typical High $407.38 | Facility | None | $309.03 | $389.05 | $407.38 |
Univera Setting Professional Modifier None Typical Low $309.03 Median $389.05 Typical High $398.11 | Professional | None | $309.03 | $389.05 | $398.11 |
Univera Setting Professional Modifier RR · Rental Typical Low $30.90 Median $38.90 Typical High $39.81 | Professional | RR · Rental | $30.90 | $38.90 | $39.81 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $229.09 Median $251.19 Typical High $302.00 | Professional | UE · Used equipment | $229.09 | $251.19 | $302.00 |
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 $39.81 Median $39.81 Typical High $39.81 | Professional | KH · Purchase or 1st rental month | $39.81 | $39.81 | $39.81 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | KU · Bidding program group 3 | $426.58 | $426.58 | $426.58 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | KH · Purchase or 1st rental month | $39.81 | $39.81 | $39.81 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | KU · Bidding program group 3 | $426.58 | $426.58 | $426.58 |
Where New York sits
The same service costs 2.2 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
$372
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.