How much rates vary
Facilitymedian $1,072 · 10th to 90th $589 to $2,344Professionalmedian $676 · 10th to 90th $490 to $851
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 $524.81 Median $588.84 Typical High $954.99 | Facility | None | $524.81 | $588.84 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $954.99 | Professional | None | $588.84 | $588.84 | $954.99 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $436.52 Median $436.52 Typical High $724.44 | Professional | UE · Used equipment | $436.52 | $436.52 | $724.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $724.44 Median $776.25 Typical High $776.25 | Professional | None | $724.44 | $776.25 | $776.25 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $77.62 Median $77.62 Typical High $131.83 | Professional | RR · Rental | $77.62 | $77.62 | $131.83 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | UE · Used equipment | $575.44 | $575.44 | $575.44 |
CDPHP Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $1,071.52 | Professional | None | $83.18 | $83.18 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $2,344.23 Typical High $2,344.23 | Facility | None | $239.88 | $2,344.23 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $1,995.26 Median $2,344.23 Typical High $2,344.23 | Professional | None | $1,995.26 | $2,344.23 | $2,344.23 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $102.33 Median $169.82 Typical High $371.54 | Facility | RR · Rental | $102.33 | $169.82 | $371.54 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $51.29 Median $67.61 Typical High $102.33 | Professional | RR · Rental | $51.29 | $67.61 | $102.33 |
Excellus BCBS Setting Professional Modifier None Typical Low $616.60 Median $630.96 Typical High $676.08 | Professional | None | $616.60 | $630.96 | $676.08 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $61.66 Median $63.10 Typical High $83.18 | Professional | RR · Rental | $61.66 | $63.10 | $83.18 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $61.66 Median $61.66 Typical High $114.82 | Professional | RR · Rental | $61.66 | $61.66 | $114.82 |
United Setting Professional Modifier None Typical Low $331.13 Median $537.03 Typical High $741.31 | Professional | None | $331.13 | $537.03 | $741.31 |
United Setting Professional Modifier RR · Rental Typical Low $33.88 Median $53.70 Typical High $77.62 | Professional | RR · Rental | $33.88 | $53.70 | $77.62 |
United Setting Professional Modifier UE · Used equipment Typical Low $251.19 Median $398.11 Typical High $562.34 | Professional | UE · Used equipment | $251.19 | $398.11 | $562.34 |
Univera Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Univera Setting Professional Modifier None Typical Low $616.60 Median $630.96 Typical High $676.08 | Professional | None | $616.60 | $630.96 | $676.08 |
Univera Setting Professional Modifier RR · Rental Typical Low $61.66 Median $63.10 Typical High $83.18 | Professional | RR · Rental | $61.66 | $63.10 | $83.18 |
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 $83.18 Median $83.18 Typical High $83.18 | Professional | KH · Purchase or 1st rental month | $83.18 | $83.18 | $83.18 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | RB · Replacement part | $1,071.52 | $1,071.52 | $1,071.52 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | KH · Purchase or 1st rental month | $83.18 | $83.18 | $83.18 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | RB · Replacement part | $1,071.52 | $1,071.52 | $1,071.52 |
Where New York sits
The same service costs 10.5 times more in North Dakota than in Mississippi. 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· 32nd of 51
$676
ND $1,148MS $110
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.