How much rates vary
Facilitymedian $51 · 10th to 90th $45 to $112Professionalmedian $50 · 10th to 90th $38 to $55
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 $25.70 Median $38.90 Typical High $64.57 | Facility | None | $25.70 | $38.90 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $38.90 Typical High $64.57 | Professional | None | $22.39 | $38.90 | $64.57 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $16.60 Median $29.51 Typical High $47.86 | Professional | UE · Used equipment | $16.60 | $29.51 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $138.04 | Facility | None | $69.18 | $69.18 | $138.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $93.33 | Professional | None | $50.12 | $50.12 | $93.33 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.01 Median $5.01 Typical High $9.12 | Professional | RR · Rental | $5.01 | $5.01 | $9.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | UE · Used equipment | $38.02 | $38.02 | $38.02 |
CDPHP Setting Professional Modifier None Typical Low $5.62 Median $41.69 Typical High $56.23 | Professional | None | $5.62 | $41.69 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $44.67 Typical High $85.11 | Facility | None | $18.62 | $44.67 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $47.86 | Professional | None | $38.02 | $44.67 | $47.86 |
Emblem Health Setting Facility Modifier None Typical Low $69.18 Median $112.20 Typical High $245.47 | Facility | None | $69.18 | $112.20 | $245.47 |
Emblem Health Setting Professional Modifier None Typical Low $41.69 Median $44.67 Typical High $63.10 | Professional | None | $41.69 | $44.67 | $63.10 |
Excellus BCBS Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Excellus BCBS Setting Professional Modifier None Typical Low $45.71 Median $48.98 Typical High $54.95 | Professional | None | $45.71 | $48.98 | $54.95 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $4.68 Median $4.90 Typical High $5.50 | Professional | RR · Rental | $4.68 | $4.90 | $5.50 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $33.88 Median $34.67 Typical High $41.69 | Professional | UE · Used equipment | $33.88 | $34.67 | $41.69 |
MVP Health Care Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
MVP Health Care Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $39.81 | Professional | None | $5.25 | $5.25 | $39.81 |
United Setting Professional Modifier None Typical Low $25.12 Median $37.15 Typical High $51.29 | Professional | None | $25.12 | $37.15 | $51.29 |
United Setting Professional Modifier RR · Rental Typical Low $2.63 Median $3.89 Typical High $5.25 | Professional | RR · Rental | $2.63 | $3.89 | $5.25 |
United Setting Professional Modifier UE · Used equipment Typical Low $19.05 Median $28.18 Typical High $38.90 | Professional | UE · Used equipment | $19.05 | $28.18 | $38.90 |
Univera Setting Facility Modifier None Typical Low $45.71 Median $51.29 Typical High $53.70 | Facility | None | $45.71 | $51.29 | $53.70 |
Univera Setting Professional Modifier None Typical Low $45.71 Median $51.29 Typical High $54.95 | Professional | None | $45.71 | $51.29 | $54.95 |
Univera Setting Professional Modifier RR · Rental Typical Low $4.68 Median $5.13 Typical High $5.50 | Professional | RR · Rental | $4.68 | $5.13 | $5.50 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $33.88 Median $37.15 Typical High $41.69 | Professional | UE · Used equipment | $33.88 | $37.15 | $41.69 |
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 $5.50 Median $5.50 Typical High $5.50 | Professional | KH · Purchase or 1st rental month | $5.50 | $5.50 | $5.50 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | KU · Bidding program group 3 | $56.23 | $56.23 | $56.23 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | KH · Purchase or 1st rental month | $5.50 | $5.50 | $5.50 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | KU · Bidding program group 3 | $56.23 | $56.23 | $56.23 |
Where New York sits
The same service costs 3.8 times more in Hawaii than in Illinois. 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· 23rd of 51
$50.12
HI $123IL $32.36
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.