How much rates vary
Facilitymedian $93 · 10th to 90th $66 to $170Professionalmedian $83 · 10th to 90th $65 to $93
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 $46.77 Median $66.07 Typical High $100.00 | Facility | None | $46.77 | $66.07 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $66.07 Typical High $100.00 | Professional | None | $39.81 | $66.07 | $100.00 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $30.20 Median $48.98 Typical High $75.86 | Professional | UE · Used equipment | $30.20 | $48.98 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $204.17 | Facility | None | $102.33 | $102.33 | $204.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $151.36 | Professional | None | $81.28 | $81.28 | $151.36 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $8.13 Median $8.13 Typical High $14.13 | Professional | RR · Rental | $8.13 | $8.13 | $14.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | UE · Used equipment | $60.26 | $60.26 | $60.26 |
CDPHP Setting Professional Modifier None Typical Low $9.55 Median $72.44 Typical High $95.50 | Professional | None | $9.55 | $72.44 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $66.07 Typical High $125.89 | Facility | None | $28.18 | $66.07 | $125.89 |
Cigna Setting Facility Modifier RR · Rental Typical Low $2.82 Median $6.61 Typical High $12.59 | Facility | RR · Rental | $2.82 | $6.61 | $12.59 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $66.07 Typical High $87.10 | Professional | None | $56.23 | $66.07 | $87.10 |
Cigna Setting Professional Modifier RR · Rental Typical Low $5.62 Median $6.61 Typical High $8.71 | Professional | RR · Rental | $5.62 | $6.61 | $8.71 |
Emblem Health Setting Facility Modifier None Typical Low $102.33 Median $169.82 Typical High $371.54 | Facility | None | $102.33 | $169.82 | $371.54 |
Emblem Health Setting Professional Modifier None Typical Low $63.10 Median $66.07 Typical High $93.33 | Professional | None | $63.10 | $66.07 | $93.33 |
Excellus BCBS Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Excellus BCBS Setting Professional Modifier None Typical Low $83.18 Median $87.10 Typical High $93.33 | Professional | None | $83.18 | $87.10 | $93.33 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $8.32 Median $8.71 Typical High $9.33 | Professional | RR · Rental | $8.32 | $8.71 | $9.33 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $61.66 Median $63.10 Typical High $66.07 | Professional | UE · Used equipment | $61.66 | $63.10 | $66.07 |
MVP Health Care Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
MVP Health Care Setting Professional Modifier None Typical Low $60.26 Median $95.50 Typical High $95.50 | Professional | None | $60.26 | $95.50 | $95.50 |
United Setting Professional Modifier None Typical Low $45.71 Median $69.18 Typical High $89.13 | Professional | None | $45.71 | $69.18 | $89.13 |
United Setting Professional Modifier RR · Rental Typical Low $4.57 Median $6.61 Typical High $8.91 | Professional | RR · Rental | $4.57 | $6.61 | $8.91 |
United Setting Professional Modifier UE · Used equipment Typical Low $33.88 Median $50.12 Typical High $67.61 | Professional | UE · Used equipment | $33.88 | $50.12 | $67.61 |
Univera Setting Facility Modifier None Typical Low $83.18 Median $93.33 Typical High $93.33 | Facility | None | $83.18 | $93.33 | $93.33 |
Univera Setting Professional Modifier None Typical Low $83.18 Median $89.13 Typical High $93.33 | Professional | None | $83.18 | $89.13 | $93.33 |
Univera Setting Professional Modifier RR · Rental Typical Low $8.32 Median $8.91 Typical High $9.33 | Professional | RR · Rental | $8.32 | $8.91 | $9.33 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $61.66 Median $64.57 Typical High $66.07 | Professional | UE · Used equipment | $61.66 | $64.57 | $66.07 |
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 $8.71 Median $8.71 Typical High $8.71 | Professional | KH · Purchase or 1st rental month | $8.71 | $8.71 | $8.71 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | KU · Bidding program group 3 | $102.33 | $102.33 | $102.33 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | KH · Purchase or 1st rental month | $8.71 | $8.71 | $8.71 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | KU · Bidding program group 3 | $102.33 | $102.33 | $102.33 |
Where New York sits
The same service costs 2.5 times more in Kansas 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
$83.18
KS $132IL $52.48
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.