How much rates vary
Facilitymedian $48 · 10th to 90th $39 to $102Professionalmedian $47 · 10th to 90th $35 to $49
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 $23.99 Median $35.48 Typical High $57.54 | Facility | None | $23.99 | $35.48 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $57.54 | Professional | None | $35.48 | $35.48 | $57.54 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $26.30 Median $26.30 Typical High $42.66 | Professional | UE · Used equipment | $26.30 | $26.30 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $120.23 | Facility | None | $60.26 | $60.26 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $85.11 | Professional | None | $46.77 | $46.77 | $85.11 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.68 Median $4.68 Typical High $8.32 | Professional | RR · Rental | $4.68 | $4.68 | $8.32 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | UE · Used equipment | $35.48 | $35.48 | $35.48 |
CDPHP Setting Professional Modifier None Typical Low $5.13 Median $38.02 Typical High $50.12 | Professional | None | $5.13 | $38.02 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $38.90 Typical High $74.13 | Facility | None | $16.60 | $38.90 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $43.65 | Professional | None | $33.11 | $38.90 | $43.65 |
Emblem Health Setting Facility Modifier None Typical Low $60.26 Median $100.00 Typical High $218.78 | Facility | None | $60.26 | $100.00 | $218.78 |
Emblem Health Setting Professional Modifier None Typical Low $37.15 Median $38.90 Typical High $56.23 | Professional | None | $37.15 | $38.90 | $56.23 |
Excellus BCBS Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Excellus BCBS Setting Professional Modifier None Typical Low $43.65 Median $45.71 Typical High $48.98 | Professional | None | $43.65 | $45.71 | $48.98 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $4.37 Median $4.57 Typical High $5.01 | Professional | RR · Rental | $4.37 | $4.57 | $5.01 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $31.62 Median $32.36 Typical High $37.15 | Professional | UE · Used equipment | $31.62 | $32.36 | $37.15 |
MVP Health Care Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
MVP Health Care Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $35.48 | Professional | None | $4.90 | $4.90 | $35.48 |
United Setting Professional Modifier None Typical Low $23.44 Median $37.15 Typical High $48.98 | Professional | None | $23.44 | $37.15 | $48.98 |
United Setting Professional Modifier RR · Rental Typical Low $2.34 Median $3.63 Typical High $4.90 | Professional | RR · Rental | $2.34 | $3.63 | $4.90 |
United Setting Professional Modifier UE · Used equipment Typical Low $17.78 Median $27.54 Typical High $37.15 | Professional | UE · Used equipment | $17.78 | $27.54 | $37.15 |
Univera Setting Facility Modifier None Typical Low $43.65 Median $47.86 Typical High $50.12 | Facility | None | $43.65 | $47.86 | $50.12 |
Univera Setting Professional Modifier None Typical Low $43.65 Median $47.86 Typical High $48.98 | Professional | None | $43.65 | $47.86 | $48.98 |
Univera Setting Professional Modifier RR · Rental Typical Low $4.37 Median $4.79 Typical High $5.01 | Professional | RR · Rental | $4.37 | $4.79 | $5.01 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $31.62 Median $34.67 Typical High $37.15 | Professional | UE · Used equipment | $31.62 | $34.67 | $37.15 |
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 $5.01 Median $5.01 Typical High $5.01 | Professional | KH · Purchase or 1st rental month | $5.01 | $5.01 | $5.01 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | KU · Bidding program group 3 | $53.70 | $53.70 | $53.70 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | KH · Purchase or 1st rental month | $5.01 | $5.01 | $5.01 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | KU · Bidding program group 3 | $53.70 | $53.70 | $53.70 |
Where New York sits
The same service costs 2.2 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· 22nd of 51
$46.77
HI $64.57NM $29.51
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.