How much rates vary
Facilitymedian $85 · 10th to 90th $56 to $145Professionalmedian $71 · 10th to 90th $52 to $85
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 $42.66 Median $56.23 Typical High $83.18 | Facility | None | $42.66 | $56.23 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $56.23 Typical High $83.18 | Professional | None | $36.31 | $56.23 | $83.18 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $42.66 Typical High $61.66 | Professional | UE · Used equipment | $27.54 | $42.66 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $158.49 | Facility | None | $79.43 | $79.43 | $158.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $128.82 | Professional | None | $67.61 | $67.61 | $128.82 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.76 Median $6.76 Typical High $12.02 | Professional | RR · Rental | $6.76 | $6.76 | $12.02 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | UE · Used equipment | $51.29 | $51.29 | $51.29 |
CDPHP Setting Professional Modifier None Typical Low $8.51 Median $63.10 Typical High $85.11 | Professional | None | $8.51 | $63.10 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $56.23 Typical High $107.15 | Facility | None | $23.99 | $56.23 | $107.15 |
Cigna Setting Facility Modifier RR · Rental Typical Low $2.40 Median $5.62 Typical High $10.72 | Facility | RR · Rental | $2.40 | $5.62 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $74.13 | Professional | None | $47.86 | $56.23 | $74.13 |
Cigna Setting Professional Modifier RR · Rental Typical Low $4.79 Median $5.62 Typical High $7.41 | Professional | RR · Rental | $4.79 | $5.62 | $7.41 |
Emblem Health Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $288.40 | Facility | None | $79.43 | $131.83 | $288.40 |
Emblem Health Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $74.13 | Professional | None | $52.48 | $52.48 | $74.13 |
Excellus BCBS Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Excellus BCBS Setting Professional Modifier None Typical Low $70.79 Median $75.86 Typical High $85.11 | Professional | None | $70.79 | $75.86 | $85.11 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $7.08 Median $7.59 Typical High $8.51 | Professional | RR · Rental | $7.08 | $7.59 | $8.51 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $53.70 Median $56.23 Typical High $60.26 | Professional | UE · Used equipment | $53.70 | $56.23 | $60.26 |
Highmark BCBS Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
MVP Health Care Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
MVP Health Care Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $46.77 | Professional | None | $8.51 | $8.51 | $46.77 |
United Setting Professional Modifier None Typical Low $41.69 Median $58.88 Typical High $79.43 | Professional | None | $41.69 | $58.88 | $79.43 |
United Setting Professional Modifier RR · Rental Typical Low $4.17 Median $5.89 Typical High $7.76 | Professional | RR · Rental | $4.17 | $5.89 | $7.76 |
United Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $43.65 Typical High $58.88 | Professional | UE · Used equipment | $30.90 | $43.65 | $58.88 |
Univera Setting Facility Modifier None Typical Low $74.13 Median $85.11 Typical High $85.11 | Facility | None | $74.13 | $85.11 | $85.11 |
Univera Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $85.11 | Professional | None | $70.79 | $79.43 | $85.11 |
Univera Setting Professional Modifier RR · Rental Typical Low $7.08 Median $7.94 Typical High $8.51 | Professional | RR · Rental | $7.08 | $7.94 | $8.51 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $53.70 Median $56.23 Typical High $60.26 | Professional | UE · Used equipment | $53.70 | $56.23 | $60.26 |
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 $7.08 Median $7.08 Typical High $7.08 | Professional | KH · Purchase or 1st rental month | $7.08 | $7.08 | $7.08 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | KU · Bidding program group 3 | $93.33 | $93.33 | $93.33 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | KH · Purchase or 1st rental month | $7.08 | $7.08 | $7.08 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | KU · Bidding program group 3 | $93.33 | $93.33 | $93.33 |
Where New York sits
The same service costs 2.3 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· 18th of 51
$74.13
HI $107IL $45.71
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.