How much rates vary
Facilitymedian $5,129 · 10th to 90th $4,074 to $7,244Professionalmedian $4,169 · 10th to 90th $2,455 to $5,012
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 $2,630.27 Median $4,168.69 Typical High $6,918.31 | Facility | None | $2,630.27 | $4,168.69 | $6,918.31 |
Aetna Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $6,918.31 | Professional | None | $4,168.69 | $4,168.69 | $6,918.31 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $3,162.28 Median $3,162.28 Typical High $5,128.61 | Professional | UE · Used equipment | $3,162.28 | $3,162.28 | $5,128.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $501.19 Median $501.19 Typical High $954.99 | Professional | RR · Rental | $501.19 | $501.19 | $954.99 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | UE · Used equipment | $3,715.35 | $3,715.35 | $3,715.35 |
CDPHP Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $7,762.47 | Professional | None | $602.56 | $602.56 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $5,128.61 Typical High $7,585.78 | Facility | None | $1,698.24 | $5,128.61 | $7,585.78 |
Cigna Setting Facility Modifier RR · Rental Typical Low $199.53 Median $512.86 Typical High $891.25 | Facility | RR · Rental | $199.53 | $512.86 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $4,365.16 Median $5,128.61 Typical High $5,128.61 | Professional | None | $4,365.16 | $5,128.61 | $5,128.61 |
Cigna Setting Professional Modifier RR · Rental Typical Low $436.52 Median $512.86 Typical High $512.86 | Professional | RR · Rental | $436.52 | $512.86 | $512.86 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $724.44 Median $1,202.26 Typical High $2,630.27 | Facility | RR · Rental | $724.44 | $1,202.26 | $2,630.27 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $371.54 Median $478.63 Typical High $724.44 | Professional | RR · Rental | $371.54 | $478.63 | $724.44 |
Excellus BCBS Setting Professional Modifier None Typical Low $4,073.80 Median $4,168.69 Typical High $4,466.84 | Professional | None | $4,073.80 | $4,168.69 | $4,466.84 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $407.38 Median $416.87 Typical High $602.56 | Professional | RR · Rental | $407.38 | $416.87 | $602.56 |
MVP Health Care Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
United Setting Professional Modifier None Typical Low $1,778.28 Median $2,818.38 Typical High $4,073.80 | Professional | None | $1,778.28 | $2,818.38 | $4,073.80 |
United Setting Professional Modifier RR · Rental Typical Low $263.03 Median $416.87 Typical High $588.84 | Professional | RR · Rental | $263.03 | $416.87 | $588.84 |
United Setting Professional Modifier UE · Used equipment Typical Low $2,884.03 Median $2,884.03 Typical High $3,630.78 | Professional | UE · Used equipment | $2,884.03 | $2,884.03 | $3,630.78 |
Univera Setting Facility Modifier None Typical Low $4,073.80 Median $4,168.69 Typical High $5,248.07 | Facility | None | $4,073.80 | $4,168.69 | $5,248.07 |
Univera Setting Professional Modifier None Typical Low $2,454.71 Median $4,168.69 Typical High $4,466.84 | Professional | None | $2,454.71 | $4,168.69 | $4,466.84 |
Univera Setting Professional Modifier RR · Rental Typical Low $407.38 Median $416.87 Typical High $602.56 | Professional | RR · Rental | $407.38 | $416.87 | $602.56 |
5 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier KF · Class III device Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | KF · Class III device | $134.90 | $134.90 | $134.90 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | KH · Purchase or 1st rental month | $602.56 | $602.56 | $602.56 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Professional | RB · Replacement part | $7,762.47 | $7,762.47 | $7,762.47 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | KH · Purchase or 1st rental month | $602.56 | $602.56 | $602.56 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Professional | RB · Replacement part | $7,762.47 | $7,762.47 | $7,762.47 |
Where New York sits
The same service costs 12.6 times more in Kansas 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· 37th of 51
$4,169
KS $9,772MS $776
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.