How much rates vary
Facilitymedian $18 · 10th to 90th $15 to $40Professionalmedian $17 · 10th to 90th $13 to $19
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 $8.91 Median $13.49 Typical High $22.39 | Facility | None | $8.91 | $13.49 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $22.39 | Professional | None | $13.49 | $13.49 | $22.39 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $10.23 Median $10.23 Typical High $16.60 | Professional | UE · Used equipment | $10.23 | $10.23 | $16.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $47.86 | Facility | None | $23.99 | $23.99 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $33.11 | Professional | None | $17.38 | $17.38 | $33.11 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.74 Median $1.74 Typical High $3.16 | Professional | RR · Rental | $1.74 | $1.74 | $3.16 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | UE · Used equipment | $12.88 | $12.88 | $12.88 |
CDPHP Setting Professional Modifier None Typical Low $1.95 Median $14.45 Typical High $19.50 | Professional | None | $1.95 | $14.45 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $15.14 Typical High $29.51 | Facility | None | $6.46 | $15.14 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $15.14 Typical High $19.95 | Professional | None | $12.88 | $15.14 | $19.95 |
Emblem Health Setting Facility Modifier None Typical Low $23.99 Median $39.81 Typical High $87.10 | Facility | None | $23.99 | $39.81 | $87.10 |
Emblem Health Setting Professional Modifier None Typical Low $14.13 Median $15.49 Typical High $21.88 | Professional | None | $14.13 | $15.49 | $21.88 |
Excellus BCBS Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Excellus BCBS Setting Professional Modifier None Typical Low $15.85 Median $16.98 Typical High $19.05 | Professional | None | $15.85 | $16.98 | $19.05 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $1.58 Median $1.70 Typical High $1.91 | Professional | RR · Rental | $1.58 | $1.70 | $1.91 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $11.75 Median $12.02 Typical High $14.45 | Professional | UE · Used equipment | $11.75 | $12.02 | $14.45 |
Highmark BCBS Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
MVP Health Care Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
MVP Health Care Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $14.13 | Professional | None | $1.82 | $1.82 | $14.13 |
United Setting Professional Modifier None Typical Low $8.71 Median $14.45 Typical High $19.05 | Professional | None | $8.71 | $14.45 | $19.05 |
United Setting Professional Modifier RR · Rental Typical Low $0.87 Median $1.45 Typical High $1.91 | Professional | RR · Rental | $0.87 | $1.45 | $1.91 |
United Setting Professional Modifier UE · Used equipment Typical Low $6.61 Median $10.72 Typical High $14.45 | Professional | UE · Used equipment | $6.61 | $10.72 | $14.45 |
Univera Setting Facility Modifier None Typical Low $15.85 Median $17.78 Typical High $18.62 | Facility | None | $15.85 | $17.78 | $18.62 |
Univera Setting Professional Modifier None Typical Low $15.85 Median $17.78 Typical High $19.05 | Professional | None | $15.85 | $17.78 | $19.05 |
Univera Setting Professional Modifier RR · Rental Typical Low $1.58 Median $1.78 Typical High $1.91 | Professional | RR · Rental | $1.58 | $1.78 | $1.91 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $11.75 Median $12.59 Typical High $14.45 | Professional | UE · Used equipment | $11.75 | $12.59 | $14.45 |
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 $1.91 Median $1.91 Typical High $1.91 | Professional | KH · Purchase or 1st rental month | $1.91 | $1.91 | $1.91 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | KU · Bidding program group 3 | $19.50 | $19.50 | $19.50 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $1.91 Median $1.91 Typical High $1.91 | Professional | KH · Purchase or 1st rental month | $1.91 | $1.91 | $1.91 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | KU · Bidding program group 3 | $19.50 | $19.50 | $19.50 |
Where New York sits
The same service costs 2.3 times more in Kansas 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· 25th of 51
$17.38
KS $24.55NM $10.72
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.