How much rates vary
Facilitymedian $65 · 10th to 90th $54 to $219Professionalmedian $138 · 10th to 90th $54 to $158
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 $83.18 Median $109.65 Typical High $162.18 | Facility | None | $83.18 | $109.65 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $162.18 | Professional | None | $109.65 | $109.65 | $162.18 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $81.28 Median $81.28 Typical High $120.23 | Professional | UE · Used equipment | $81.28 | $81.28 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $295.12 | Facility | None | $144.54 | $144.54 | $295.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $134.90 Median $138.04 Typical High $165.96 | Professional | None | $134.90 | $138.04 | $165.96 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $13.80 Median $13.80 Typical High $23.44 | Professional | RR · Rental | $13.80 | $13.80 | $23.44 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | UE · Used equipment | $102.33 | $102.33 | $102.33 |
CDPHP Setting Professional Modifier None Typical Low $16.60 Median $117.49 Typical High $218.78 | Professional | None | $16.60 | $117.49 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $64.57 Typical High $199.53 | Facility | None | $43.65 | $64.57 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $64.57 | Professional | None | $54.95 | $64.57 | $64.57 |
Emblem Health Setting Facility Modifier None Typical Low $165.96 Median $218.78 Typical High $309.03 | Facility | None | $165.96 | $218.78 | $309.03 |
Emblem Health Setting Professional Modifier None Typical Low $91.20 Median $95.50 Typical High $134.90 | Professional | None | $91.20 | $95.50 | $134.90 |
Excellus BCBS Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Excellus BCBS Setting Professional Modifier None Typical Low $53.70 Median $147.91 Typical High $158.49 | Professional | None | $53.70 | $147.91 | $158.49 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $5.37 Median $14.45 Typical High $15.85 | Professional | RR · Rental | $5.37 | $14.45 | $15.85 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $109.65 Median $112.20 Typical High $117.49 | Professional | UE · Used equipment | $109.65 | $112.20 | $117.49 |
MVP Health Care Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
MVP Health Care Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
United Setting Professional Modifier None Typical Low $74.13 Median $95.50 Typical High $154.88 | Professional | None | $74.13 | $95.50 | $154.88 |
United Setting Professional Modifier RR · Rental Typical Low $8.13 Median $11.48 Typical High $15.49 | Professional | RR · Rental | $8.13 | $11.48 | $15.49 |
United Setting Professional Modifier UE · Used equipment Typical Low $56.23 Median $72.44 Typical High $114.82 | Professional | UE · Used equipment | $56.23 | $72.44 | $114.82 |
Univera Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $147.91 | Facility | None | $53.70 | $53.70 | $147.91 |
Univera Setting Professional Modifier None Typical Low $53.70 Median $147.91 Typical High $158.49 | Professional | None | $53.70 | $147.91 | $158.49 |
Univera Setting Professional Modifier RR · Rental Typical Low $5.37 Median $13.80 Typical High $15.85 | Professional | RR · Rental | $5.37 | $13.80 | $15.85 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $53.70 Median $112.20 Typical High $117.49 | Professional | UE · Used equipment | $53.70 | $112.20 | $117.49 |
8 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 BP · Chose to purchase Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | BP · Chose to purchase | $138.04 | $138.04 | $138.04 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | KH · Purchase or 1st rental month | $13.80 | $13.80 | $13.80 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | KU · Bidding program group 3 | $218.78 | $218.78 | $218.78 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | RB · Replacement part | $181.97 | $181.97 | $181.97 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | BP · Chose to purchase | $138.04 | $138.04 | $138.04 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | KH · Purchase or 1st rental month | $13.80 | $13.80 | $13.80 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | KU · Bidding program group 3 | $218.78 | $218.78 | $218.78 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | RB · Replacement part | $181.97 | $181.97 | $181.97 |
Where New York sits
The same service costs 5.1 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· 23rd of 51
$138
KS $331IL $64.57
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.