How much rates vary
Facilitymedian $562 · 10th to 90th $331 to $676Professionalmedian $468 · 10th to 90th $282 to $661
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 $467.74 Median $478.63 Typical High $524.81 | Facility | None | $467.74 | $478.63 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $467.74 Typical High $524.81 | Professional | None | $338.84 | $467.74 | $524.81 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $169.82 Median $354.81 Typical High $398.11 | Professional | UE · Used equipment | $169.82 | $354.81 | $398.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $331.13 Typical High $331.13 | Professional | None | $302.00 | $331.13 | $331.13 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $33.11 Median $33.11 Typical High $77.62 | Professional | RR · Rental | $33.11 | $33.11 | $77.62 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | UE · Used equipment | $251.19 | $251.19 | $251.19 |
CDPHP Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $851.14 | Professional | None | $66.07 | $66.07 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $331.13 Typical High $1,122.02 | Facility | None | $251.19 | $331.13 | $1,122.02 |
Cigna Setting Facility Modifier RR · Rental Typical Low $25.12 Median $33.11 Typical High $112.20 | Facility | RR · Rental | $25.12 | $33.11 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $398.11 | Professional | None | $281.84 | $331.13 | $398.11 |
Cigna Setting Professional Modifier RR · Rental Typical Low $28.18 Median $33.11 Typical High $38.90 | Professional | RR · Rental | $28.18 | $33.11 | $38.90 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $37.15 Median $60.26 Typical High $134.90 | Facility | RR · Rental | $37.15 | $60.26 | $134.90 |
Emblem Health Setting Professional Modifier None Typical Low $457.09 Median $562.34 Typical High $562.34 | Professional | None | $457.09 | $562.34 | $562.34 |
Excellus BCBS Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Excellus BCBS Setting Facility Modifier RR · Rental Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | RR · Rental | $56.23 | $56.23 | $56.23 |
Excellus BCBS Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $691.83 | Professional | None | $562.34 | $660.69 | $691.83 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $45.71 Median $64.57 Typical High $69.18 | Professional | RR · Rental | $45.71 | $64.57 | $69.18 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $316.23 Median $338.84 Typical High $489.78 | Professional | UE · Used equipment | $316.23 | $338.84 | $489.78 |
Fidelis Setting Professional Modifier RR · Rental Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | RR · Rental | $41.69 | $41.69 | $41.69 |
Highmark BCBS Setting Professional Modifier RR · Rental Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | RR · Rental | $36.31 | $36.31 | $36.31 |
MVP Health Care Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $1,202.26 | Facility | None | $120.23 | $120.23 | $1,202.26 |
MVP Health Care Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $794.33 | Professional | None | $57.54 | $57.54 | $794.33 |
United Setting Professional Modifier None Typical Low $218.78 Median $302.00 Typical High $501.19 | Professional | None | $218.78 | $302.00 | $501.19 |
United Setting Professional Modifier RR · Rental Typical Low $22.91 Median $42.66 Typical High $61.66 | Professional | RR · Rental | $22.91 | $42.66 | $61.66 |
United Setting Professional Modifier UE · Used equipment Typical Low $165.96 Median $223.87 Typical High $371.54 | Professional | UE · Used equipment | $165.96 | $223.87 | $371.54 |
Univera Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $660.69 | Facility | None | $562.34 | $562.34 | $660.69 |
Univera Setting Facility Modifier RR · Rental Typical Low $56.23 Median $56.23 Typical High $67.61 | Facility | RR · Rental | $56.23 | $56.23 | $67.61 |
Univera Setting Professional Modifier None Typical Low $562.34 Median $645.65 Typical High $691.83 | Professional | None | $562.34 | $645.65 | $691.83 |
Univera Setting Professional Modifier RR · Rental Typical Low $45.71 Median $56.23 Typical High $69.18 | Professional | RR · Rental | $45.71 | $56.23 | $69.18 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $316.23 Median $338.84 Typical High $562.34 | Professional | UE · Used equipment | $316.23 | $338.84 | $562.34 |
6 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 MS · Maintenance fee Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | MS · Maintenance fee | $645.65 | $645.65 | $645.65 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | RB · Replacement part | $588.84 | $588.84 | $588.84 |
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 MS · Maintenance fee Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | MS · Maintenance fee | $645.65 | $645.65 | $645.65 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | RB · Replacement part | $588.84 | $588.84 | $588.84 |
Where New York sits
The same service costs 16.6 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· 6th of 51
$501
KS $832IL $50.12
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.