How much rates vary
Facilitymedian $162 · 10th to 90th $83 to $347Professionalmedian $155 · 10th to 90th $110 to $174
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 $91.20 Median $128.82 Typical High $204.17 | Facility | None | $91.20 | $128.82 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $204.17 | Professional | None | $128.82 | $128.82 | $204.17 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $97.72 Median $97.72 Typical High $151.36 | Professional | UE · Used equipment | $97.72 | $97.72 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $416.87 | Facility | None | $208.93 | $208.93 | $416.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $309.03 | Professional | None | $154.88 | $154.88 | $309.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $14.45 Median $22.39 Typical High $40.74 | Professional | RR · Rental | $14.45 | $22.39 | $40.74 |
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 $19.05 Median $141.25 Typical High $190.55 | Professional | None | $19.05 | $141.25 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $83.18 Typical High $257.04 | Facility | None | $57.54 | $83.18 | $257.04 |
Cigna Setting Facility Modifier RR · Rental Typical Low $8.32 Median $8.32 Typical High $25.70 | Facility | RR · Rental | $8.32 | $8.32 | $25.70 |
Cigna Setting Facility Modifier UE · Used equipment Typical Low $66.07 Median $66.07 Typical High $70.79 | Facility | UE · Used equipment | $66.07 | $66.07 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $89.13 | Professional | None | $60.26 | $70.79 | $89.13 |
Cigna Setting Professional Modifier RR · Rental Typical Low $6.03 Median $8.32 Typical High $8.32 | Professional | RR · Rental | $6.03 | $8.32 | $8.32 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $48.98 Median $66.07 Typical High $66.07 | Professional | UE · Used equipment | $48.98 | $66.07 | $66.07 |
Emblem Health Setting Facility Modifier None Typical Low $208.93 Median $346.74 Typical High $758.58 | Facility | None | $208.93 | $346.74 | $758.58 |
Emblem Health Setting Professional Modifier None Typical Low $128.82 Median $138.04 Typical High $208.93 | Professional | None | $128.82 | $138.04 | $208.93 |
Excellus BCBS Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Excellus BCBS Setting Professional Modifier None Typical Low $147.91 Median $154.88 Typical High $173.78 | Professional | None | $147.91 | $154.88 | $173.78 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $14.79 Median $15.49 Typical High $17.38 | Professional | RR · Rental | $14.79 | $15.49 | $17.38 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $107.15 Median $109.65 Typical High $131.83 | Professional | UE · Used equipment | $107.15 | $109.65 | $131.83 |
MVP Health Care Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
MVP Health Care Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $234.42 | Professional | None | $123.03 | $123.03 | $234.42 |
United Setting Professional Modifier None Typical Low $75.86 Median $120.23 Typical High $173.78 | Professional | None | $75.86 | $120.23 | $173.78 |
United Setting Professional Modifier RR · Rental Typical Low $7.59 Median $12.02 Typical High $16.98 | Professional | RR · Rental | $7.59 | $12.02 | $16.98 |
United Setting Professional Modifier UE · Used equipment Typical Low $57.54 Median $91.20 Typical High $125.89 | Professional | UE · Used equipment | $57.54 | $91.20 | $125.89 |
Univera Setting Facility Modifier None Typical Low $147.91 Median $162.18 Typical High $169.82 | Facility | None | $147.91 | $162.18 | $169.82 |
Univera Setting Professional Modifier None Typical Low $147.91 Median $162.18 Typical High $173.78 | Professional | None | $147.91 | $162.18 | $173.78 |
Univera Setting Professional Modifier RR · Rental Typical Low $14.79 Median $16.22 Typical High $17.38 | Professional | RR · Rental | $14.79 | $16.22 | $17.38 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $107.15 Median $109.65 Typical High $131.83 | Professional | UE · Used equipment | $107.15 | $109.65 | $131.83 |
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 $17.38 Median $17.38 Typical High $17.38 | Professional | KH · Purchase or 1st rental month | $17.38 | $17.38 | $17.38 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | KU · Bidding program group 3 | $194.98 | $194.98 | $194.98 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | KH · Purchase or 1st rental month | $17.38 | $17.38 | $17.38 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | KU · Bidding program group 3 | $194.98 | $194.98 | $194.98 |
Where New York sits
The same service costs 2.9 times more in Kansas than in Vermont. 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· 27th of 51
$155
KS $240VT $83.18
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.