How much rates vary
Facilitymedian $37 · 10th to 90th $25 to $91Professionalmedian $37 · 10th to 90th $27 to $43
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 $21.88 Median $28.84 Typical High $47.86 | Facility | None | $21.88 | $28.84 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $47.86 | Professional | None | $28.84 | $28.84 | $47.86 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $21.88 Median $21.88 Typical High $35.48 | Professional | UE · Used equipment | $21.88 | $21.88 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $100.00 | Facility | None | $50.12 | $50.12 | $100.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $70.79 | Professional | None | $42.66 | $42.66 | $70.79 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.89 Median $3.89 Typical High $6.46 | Professional | RR · Rental | $3.89 | $3.89 | $6.46 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | UE · Used equipment | $32.36 | $32.36 | $32.36 |
CDPHP Setting Professional Modifier None Typical Low $3.80 Median $30.90 Typical High $40.74 | Professional | None | $3.80 | $30.90 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $25.12 Typical High $69.18 | Facility | None | $15.14 | $25.12 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $30.20 | Professional | None | $21.38 | $25.12 | $30.20 |
Emblem Health Setting Facility Modifier None Typical Low $50.12 Median $83.18 Typical High $181.97 | Facility | None | $50.12 | $83.18 | $181.97 |
Emblem Health Setting Professional Modifier None Typical Low $30.20 Median $32.36 Typical High $46.77 | Professional | None | $30.20 | $32.36 | $46.77 |
Excellus BCBS Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Excellus BCBS Setting Professional Modifier None Typical Low $33.11 Median $35.48 Typical High $40.74 | Professional | None | $33.11 | $35.48 | $40.74 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $3.09 Median $3.24 Typical High $3.80 | Professional | RR · Rental | $3.09 | $3.24 | $3.80 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $24.55 Median $25.12 Typical High $30.90 | Professional | UE · Used equipment | $24.55 | $25.12 | $30.90 |
MVP Health Care Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
MVP Health Care Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $30.20 | Professional | None | $3.47 | $3.47 | $30.20 |
United Setting Professional Modifier None Typical Low $21.38 Median $30.20 Typical High $40.74 | Professional | None | $21.38 | $30.20 | $40.74 |
United Setting Professional Modifier RR · Rental Typical Low $1.91 Median $2.82 Typical High $3.80 | Professional | RR · Rental | $1.91 | $2.82 | $3.80 |
United Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $22.91 Typical High $30.90 | Professional | UE · Used equipment | $16.22 | $22.91 | $30.90 |
Univera Setting Facility Modifier None Typical Low $33.11 Median $37.15 Typical High $38.90 | Facility | None | $33.11 | $37.15 | $38.90 |
Univera Setting Professional Modifier None Typical Low $33.11 Median $37.15 Typical High $40.74 | Professional | None | $33.11 | $37.15 | $40.74 |
Univera Setting Professional Modifier RR · Rental Typical Low $3.09 Median $3.72 Typical High $3.80 | Professional | RR · Rental | $3.09 | $3.72 | $3.80 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $24.55 Median $26.92 Typical High $30.90 | Professional | UE · Used equipment | $24.55 | $26.92 | $30.90 |
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 $3.80 Median $3.80 Typical High $3.80 | Professional | KH · Purchase or 1st rental month | $3.80 | $3.80 | $3.80 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | KU · Bidding program group 3 | $40.74 | $40.74 | $40.74 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | KH · Purchase or 1st rental month | $3.80 | $3.80 | $3.80 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | KU · Bidding program group 3 | $40.74 | $40.74 | $40.74 |
Where New York sits
The same service costs 4.8 times more in Hawaii than in New Mexico. 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· 31st of 51
$37.15
HI $117NM $24.55
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.