How much rates vary
Facilitymedian $33 · 10th to 90th $25 to $66Professionalmedian $30 · 10th to 90th $23 to $33
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 $16.60 Median $23.44 Typical High $37.15 | Facility | None | $16.60 | $23.44 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $37.15 | Professional | None | $23.44 | $23.44 | $37.15 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $17.78 Median $17.78 Typical High $28.18 | Professional | UE · Used equipment | $17.78 | $17.78 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $77.62 | Facility | None | $38.90 | $38.90 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $56.23 | Professional | None | $30.20 | $30.20 | $56.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.02 Median $3.02 Typical High $5.13 | Professional | RR · Rental | $3.02 | $3.02 | $5.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | UE · Used equipment | $22.91 | $22.91 | $22.91 |
CDPHP Setting Professional Modifier None Typical Low $3.39 Median $25.12 Typical High $33.88 | Professional | None | $3.39 | $25.12 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $25.12 Typical High $47.86 | Facility | None | $10.47 | $25.12 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $29.51 | Professional | None | $21.38 | $25.12 | $29.51 |
Emblem Health Setting Facility Modifier None Typical Low $38.90 Median $64.57 Typical High $141.25 | Facility | None | $38.90 | $64.57 | $141.25 |
Emblem Health Setting Professional Modifier None Typical Low $23.99 Median $25.12 Typical High $35.48 | Professional | None | $23.99 | $25.12 | $35.48 |
Excellus BCBS Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Excellus BCBS Setting Professional Modifier None Typical Low $29.51 Median $31.62 Typical High $33.11 | Professional | None | $29.51 | $31.62 | $33.11 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $2.95 Median $3.16 Typical High $3.31 | Professional | RR · Rental | $2.95 | $3.16 | $3.31 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $21.88 Median $22.39 Typical High $24.55 | Professional | UE · Used equipment | $21.88 | $22.39 | $24.55 |
MVP Health Care Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
MVP Health Care Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $22.91 | Professional | None | $3.39 | $3.39 | $22.91 |
United Setting Professional Modifier None Typical Low $16.22 Median $23.44 Typical High $32.36 | Professional | None | $16.22 | $23.44 | $32.36 |
United Setting Professional Modifier RR · Rental Typical Low $1.62 Median $2.34 Typical High $3.24 | Professional | RR · Rental | $1.62 | $2.34 | $3.24 |
United Setting Professional Modifier UE · Used equipment Typical Low $12.30 Median $17.78 Typical High $23.99 | Professional | UE · Used equipment | $12.30 | $17.78 | $23.99 |
Univera Setting Facility Modifier None Typical Low $29.51 Median $33.11 Typical High $34.67 | Facility | None | $29.51 | $33.11 | $34.67 |
Univera Setting Professional Modifier None Typical Low $29.51 Median $32.36 Typical High $33.11 | Professional | None | $29.51 | $32.36 | $33.11 |
Univera Setting Professional Modifier RR · Rental Typical Low $2.95 Median $3.24 Typical High $3.31 | Professional | RR · Rental | $2.95 | $3.24 | $3.31 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $21.88 Median $23.44 Typical High $24.55 | Professional | UE · Used equipment | $21.88 | $23.44 | $24.55 |
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 $3.24 Median $3.24 Typical High $3.24 | Professional | KH · Purchase or 1st rental month | $3.24 | $3.24 | $3.24 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | KU · Bidding program group 3 | $36.31 | $36.31 | $36.31 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | KH · Purchase or 1st rental month | $3.24 | $3.24 | $3.24 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | KU · Bidding program group 3 | $36.31 | $36.31 | $36.31 |
Where New York sits
The same service costs 2.1 times more in Wisconsin 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· 19th of 51
$30.20
WI $38.90NM $18.62
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.