How much rates vary
Facilitymedian $54 · 10th to 90th $40 to $126Professionalmedian $46 · 10th to 90th $33 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 $23.99 Median $35.48 Typical High $58.88 | Facility | None | $23.99 | $35.48 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $58.88 | Professional | None | $35.48 | $35.48 | $58.88 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $26.92 Median $26.92 Typical High $43.65 | Professional | UE · Used equipment | $26.92 | $26.92 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $125.89 | Facility | None | $63.10 | $63.10 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $87.10 | Professional | None | $46.77 | $46.77 | $87.10 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.68 Median $4.68 Typical High $7.94 | Professional | RR · Rental | $4.68 | $4.68 | $7.94 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | UE · Used equipment | $34.67 | $34.67 | $34.67 |
CDPHP Setting Professional Modifier None Typical Low $5.13 Median $38.90 Typical High $51.29 | Professional | None | $5.13 | $38.90 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $39.81 Typical High $75.86 | Facility | None | $16.98 | $39.81 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $39.81 Typical High $43.65 | Professional | None | $33.88 | $39.81 | $43.65 |
Emblem Health Setting Facility Modifier None Typical Low $63.10 Median $102.33 Typical High $223.87 | Facility | None | $63.10 | $102.33 | $223.87 |
Emblem Health Setting Professional Modifier None Typical Low $38.90 Median $40.74 Typical High $57.54 | Professional | None | $38.90 | $40.74 | $57.54 |
Excellus BCBS Setting Professional Modifier None Typical Low $41.69 Median $42.66 Typical High $50.12 | Professional | None | $41.69 | $42.66 | $50.12 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $4.27 Median $4.27 Typical High $5.13 | Professional | RR · Rental | $4.27 | $4.27 | $5.13 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $31.62 Median $32.36 Typical High $38.02 | Professional | UE · Used equipment | $31.62 | $32.36 | $38.02 |
MVP Health Care Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $36.31 | Professional | None | $4.90 | $4.90 | $36.31 |
United Setting Professional Modifier None Typical Low $23.44 Median $38.02 Typical High $50.12 | Professional | None | $23.44 | $38.02 | $50.12 |
United Setting Professional Modifier RR · Rental Typical Low $2.34 Median $3.80 Typical High $5.01 | Professional | RR · Rental | $2.34 | $3.80 | $5.01 |
United Setting Professional Modifier UE · Used equipment Typical Low $17.78 Median $28.18 Typical High $38.02 | Professional | UE · Used equipment | $17.78 | $28.18 | $38.02 |
Univera Setting Facility Modifier None Typical Low $41.69 Median $42.66 Typical High $42.66 | Facility | None | $41.69 | $42.66 | $42.66 |
Univera Setting Professional Modifier None Typical Low $41.69 Median $42.66 Typical High $50.12 | Professional | None | $41.69 | $42.66 | $50.12 |
Univera Setting Professional Modifier RR · Rental Typical Low $4.27 Median $4.27 Typical High $5.13 | Professional | RR · Rental | $4.27 | $4.27 | $5.13 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $31.62 Median $32.36 Typical High $38.02 | Professional | UE · Used equipment | $31.62 | $32.36 | $38.02 |
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 $5.13 Median $5.13 Typical High $5.13 | Professional | KH · Purchase or 1st rental month | $5.13 | $5.13 | $5.13 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | KU · Bidding program group 3 | $52.48 | $52.48 | $52.48 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | KH · Purchase or 1st rental month | $5.13 | $5.13 | $5.13 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | KU · Bidding program group 3 | $52.48 | $52.48 | $52.48 |
Where New York sits
The same service costs 3.4 times more in Wisconsin than in Kansas. 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· 24th of 51
$45.71
WI $63.10KS $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.