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 $346.74 Median $478.63 Typical High $741.31 | Facility | None | $346.74 | $478.63 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $741.31 | Professional | None | $478.63 | $478.63 | $741.31 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $363.08 Median $363.08 Typical High $562.34 | Professional | UE · Used equipment | $363.08 | $363.08 | $562.34 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $1,584.89 | Facility | None | $794.33 | $794.33 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $1,122.02 | Professional | None | $602.56 | $602.56 | $1,122.02 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $60.26 Median $60.26 Typical High $107.15 | Professional | RR · Rental | $60.26 | $60.26 | $107.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | UE · Used equipment | $457.09 | $457.09 | $457.09 |
CDPHP Setting Professional Modifier None Typical Low $69.18 Median $524.81 Typical High $691.83 | Professional | None | $69.18 | $524.81 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $645.65 Typical High $1,000.00 | Facility | None | $223.87 | $645.65 | $1,000.00 |
Cigna Setting Facility Modifier RR · Rental Typical Low $22.39 Median $64.57 Typical High $100.00 | Facility | RR · Rental | $22.39 | $64.57 | $100.00 |
Cigna Setting Facility Modifier UE · Used equipment Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | UE · Used equipment | $512.86 | $512.86 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $549.54 Typical High $645.65 | Professional | None | $467.74 | $549.54 | $645.65 |
Cigna Setting Professional Modifier RR · Rental Typical Low $46.77 Median $64.57 Typical High $64.57 | Professional | RR · Rental | $46.77 | $64.57 | $64.57 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $380.19 Median $512.86 Typical High $512.86 | Professional | UE · Used equipment | $380.19 | $512.86 | $512.86 |
Emblem Health Setting Facility Modifier None Typical Low $794.33 Median $1,288.25 Typical High $2,818.38 | Facility | None | $794.33 | $1,288.25 | $2,818.38 |
Emblem Health Setting Professional Modifier None Typical Low $489.78 Median $512.86 Typical High $794.33 | Professional | None | $489.78 | $512.86 | $794.33 |
Excellus BCBS Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Excellus BCBS Setting Professional Modifier None Typical Low $457.09 Median $524.81 Typical High $645.65 | Professional | None | $457.09 | $524.81 | $645.65 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $45.71 Median $52.48 Typical High $64.57 | Professional | RR · Rental | $45.71 | $52.48 | $64.57 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $380.19 Median $389.05 Typical High $478.63 | Professional | UE · Used equipment | $380.19 | $389.05 | $478.63 |
MVP Health Care Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
MVP Health Care Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $870.96 | Professional | None | $457.09 | $457.09 | $870.96 |
United Setting Professional Modifier None Typical Low $302.00 Median $467.74 Typical High $645.65 | Professional | None | $302.00 | $467.74 | $645.65 |
United Setting Professional Modifier RR · Rental Typical Low $30.20 Median $46.77 Typical High $64.57 | Professional | RR · Rental | $30.20 | $46.77 | $64.57 |
United Setting Professional Modifier UE · Used equipment Typical Low $223.87 Median $346.74 Typical High $478.63 | Professional | UE · Used equipment | $223.87 | $346.74 | $478.63 |
Univera Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $524.81 | Facility | None | $457.09 | $457.09 | $524.81 |
Univera Setting Professional Modifier None Typical Low $457.09 Median $524.81 Typical High $645.65 | Professional | None | $457.09 | $524.81 | $645.65 |
Univera Setting Professional Modifier RR · Rental Typical Low $45.71 Median $52.48 Typical High $64.57 | Professional | RR · Rental | $45.71 | $52.48 | $64.57 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $380.19 Median $389.05 Typical High $478.63 | Professional | UE · Used equipment | $380.19 | $389.05 | $478.63 |
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 $64.57 Median $64.57 Typical High $64.57 | Professional | KH · Purchase or 1st rental month | $64.57 | $64.57 | $64.57 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | KU · Bidding program group 3 | $691.83 | $691.83 | $691.83 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | KH · Purchase or 1st rental month | $64.57 | $64.57 | $64.57 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | KU · Bidding program group 3 | $691.83 | $691.83 | $691.83 |
Where New York sits
The same service costs 2.2 times more in Hawaii than in Arizona. 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· 38th of 51
$550
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.