How much rates vary
Facilitymedian $15 · 10th to 90th $13 to $34Professionalmedian $15 · 10th to 90th $12 to $17
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 $7.59 Median $11.75 Typical High $19.50 | Facility | None | $7.59 | $11.75 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $19.50 | Professional | None | $11.75 | $11.75 | $19.50 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $8.71 Median $8.71 Typical High $14.45 | Professional | UE · Used equipment | $8.71 | $8.71 | $14.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $40.74 | Facility | None | $20.42 | $20.42 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $28.18 | Professional | None | $14.79 | $14.79 | $28.18 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.48 Median $1.48 Typical High $2.69 | Professional | RR · Rental | $1.48 | $1.48 | $2.69 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | UE · Used equipment | $10.96 | $10.96 | $10.96 |
CDPHP Setting Professional Modifier None Typical Low $1.66 Median $12.59 Typical High $16.60 | Professional | None | $1.66 | $12.59 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $13.18 Typical High $25.12 | Facility | None | $5.62 | $13.18 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $13.18 Typical High $14.13 | Professional | None | $11.22 | $13.18 | $14.13 |
Emblem Health Setting Facility Modifier None Typical Low $20.42 Median $33.88 Typical High $74.13 | Facility | None | $20.42 | $33.88 | $74.13 |
Emblem Health Setting Professional Modifier None Typical Low $12.02 Median $13.18 Typical High $18.62 | Professional | None | $12.02 | $13.18 | $18.62 |
Excellus BCBS Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Excellus BCBS Setting Professional Modifier None Typical Low $13.49 Median $14.45 Typical High $16.60 | Professional | None | $13.49 | $14.45 | $16.60 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $1.38 Median $1.45 Typical High $1.66 | Professional | RR · Rental | $1.38 | $1.45 | $1.66 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $10.00 Median $10.23 Typical High $12.59 | Professional | UE · Used equipment | $10.00 | $10.23 | $12.59 |
MVP Health Care Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
MVP Health Care Setting Professional Modifier None Typical Low $12.30 Median $15.49 Typical High $15.49 | Professional | None | $12.30 | $15.49 | $15.49 |
United Setting Professional Modifier None Typical Low $7.41 Median $11.75 Typical High $16.60 | Professional | None | $7.41 | $11.75 | $16.60 |
United Setting Professional Modifier RR · Rental Typical Low $0.76 Median $1.23 Typical High $1.62 | Professional | RR · Rental | $0.76 | $1.23 | $1.62 |
United Setting Professional Modifier UE · Used equipment Typical Low $5.62 Median $9.12 Typical High $12.30 | Professional | UE · Used equipment | $5.62 | $9.12 | $12.30 |
Univera Setting Facility Modifier None Typical Low $13.49 Median $15.14 Typical High $15.85 | Facility | None | $13.49 | $15.14 | $15.85 |
Univera Setting Professional Modifier None Typical Low $13.49 Median $15.14 Typical High $16.60 | Professional | None | $13.49 | $15.14 | $16.60 |
Univera Setting Professional Modifier RR · Rental Typical Low $1.38 Median $1.51 Typical High $1.66 | Professional | RR · Rental | $1.38 | $1.51 | $1.66 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $10.00 Median $10.72 Typical High $12.59 | Professional | UE · Used equipment | $10.00 | $10.72 | $12.59 |
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 $1.66 Median $1.66 Typical High $1.66 | Professional | KH · Purchase or 1st rental month | $1.66 | $1.66 | $1.66 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | KU · Bidding program group 3 | $16.60 | $16.60 | $16.60 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $1.66 Median $1.66 Typical High $1.66 | Professional | KH · Purchase or 1st rental month | $1.66 | $1.66 | $1.66 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | KU · Bidding program group 3 | $16.60 | $16.60 | $16.60 |
Where New York sits
The same service costs 2.7 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
$14.79
KS $25.12NM $9.33
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.