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 $436.52 Median $512.86 Typical High $588.84 | Facility | None | $436.52 | $512.86 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $512.86 Typical High $588.84 | Professional | None | $323.59 | $512.86 | $588.84 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $162.18 Median $389.05 Typical High $446.68 | Professional | UE · Used equipment | $162.18 | $389.05 | $446.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $346.74 Median $389.05 Typical High $389.05 | Professional | None | $346.74 | $389.05 | $389.05 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $38.90 Median $38.90 Typical High $87.10 | Professional | RR · Rental | $38.90 | $38.90 | $87.10 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | UE · Used equipment | $295.12 | $295.12 | $295.12 |
CDPHP Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $891.25 | Professional | None | $69.18 | $69.18 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $331.13 Typical High $1,047.13 | Facility | None | $229.09 | $331.13 | $1,047.13 |
Cigna Setting Facility Modifier RR · Rental Typical Low $22.91 Median $33.11 Typical High $104.71 | Facility | RR · Rental | $22.91 | $33.11 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $331.13 | Professional | None | $281.84 | $331.13 | $331.13 |
Cigna Setting Professional Modifier RR · Rental Typical Low $28.18 Median $33.11 Typical High $35.48 | Professional | RR · Rental | $28.18 | $33.11 | $35.48 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $45.71 Median $75.86 Typical High $165.96 | Facility | RR · Rental | $45.71 | $75.86 | $165.96 |
Emblem Health Setting Professional Modifier None Typical Low $380.19 Median $467.74 Typical High $467.74 | Professional | None | $380.19 | $467.74 | $467.74 |
Excellus BCBS Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Excellus BCBS Setting Facility Modifier RR · Rental Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | RR · Rental | $46.77 | $46.77 | $46.77 |
Excellus BCBS Setting Professional Modifier None Typical Low $467.74 Median $660.69 Typical High $707.95 | Professional | None | $467.74 | $660.69 | $707.95 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $46.77 Median $64.57 Typical High $70.79 | Professional | RR · Rental | $46.77 | $64.57 | $70.79 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $309.03 Typical High $501.19 | Professional | UE · Used equipment | $288.40 | $309.03 | $501.19 |
Highmark BCBS Setting Professional Modifier RR · Rental Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | RR · Rental | $40.74 | $40.74 | $40.74 |
MVP Health Care Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $1,000.00 | Facility | None | $100.00 | $100.00 | $1,000.00 |
MVP Health Care Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $812.83 | Professional | None | $75.86 | $75.86 | $812.83 |
United Setting Professional Modifier None Typical Low $213.80 Median $269.15 Typical High $457.09 | Professional | None | $213.80 | $269.15 | $457.09 |
United Setting Professional Modifier RR · Rental Typical Low $24.55 Median $43.65 Typical High $60.26 | Professional | RR · Rental | $24.55 | $43.65 | $60.26 |
United Setting Professional Modifier UE · Used equipment Typical Low $162.18 Median $199.53 Typical High $316.23 | Professional | UE · Used equipment | $162.18 | $199.53 | $316.23 |
Univera Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $660.69 | Facility | None | $467.74 | $467.74 | $660.69 |
Univera Setting Facility Modifier RR · Rental Typical Low $46.77 Median $46.77 Typical High $66.07 | Facility | RR · Rental | $46.77 | $46.77 | $66.07 |
Univera Setting Professional Modifier None Typical Low $467.74 Median $645.65 Typical High $707.95 | Professional | None | $467.74 | $645.65 | $707.95 |
Univera Setting Professional Modifier RR · Rental Typical Low $46.77 Median $51.29 Typical High $70.79 | Professional | RR · Rental | $46.77 | $51.29 | $70.79 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $309.03 Typical High $501.19 | Professional | UE · Used equipment | $288.40 | $309.03 | $501.19 |
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 $51.29 Median $51.29 Typical High $51.29 | Professional | KH · Purchase or 1st rental month | $51.29 | $51.29 | $51.29 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | RB · Replacement part | $660.69 | $660.69 | $660.69 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | KH · Purchase or 1st rental month | $51.29 | $51.29 | $51.29 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | RB · Replacement part | $660.69 | $660.69 | $660.69 |
Where New York sits
The same service costs 17.4 times more in Kansas than in Illinois. 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· 8th of 51
$468
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.