How much rates vary
Facilitymedian $95 · 10th to 90th $74 to $191Professionalmedian $91 · 10th to 90th $68 to $98
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 $50.12 Median $70.79 Typical High $107.15 | Facility | None | $50.12 | $70.79 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $70.79 Typical High $107.15 | Professional | None | $50.12 | $70.79 | $107.15 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $38.02 Median $52.48 Typical High $81.28 | Professional | UE · Used equipment | $38.02 | $52.48 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $218.78 | Facility | None | $109.65 | $109.65 | $218.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $162.18 | Professional | None | $91.20 | $91.20 | $162.18 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $9.12 Median $9.12 Typical High $15.49 | Professional | RR · Rental | $9.12 | $9.12 | $15.49 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | UE · Used equipment | $67.61 | $67.61 | $67.61 |
CDPHP Setting Professional Modifier None Typical Low $10.47 Median $79.43 Typical High $104.71 | Professional | None | $10.47 | $79.43 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $74.13 Typical High $144.54 | Facility | None | $31.62 | $74.13 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $97.72 | Professional | None | $63.10 | $74.13 | $97.72 |
Emblem Health Setting Facility Modifier None Typical Low $109.65 Median $177.83 Typical High $389.05 | Facility | None | $109.65 | $177.83 | $389.05 |
Emblem Health Setting Professional Modifier None Typical Low $67.61 Median $70.79 Typical High $100.00 | Professional | None | $67.61 | $70.79 | $100.00 |
Excellus BCBS Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Excellus BCBS Setting Professional Modifier None Typical Low $77.62 Median $83.18 Typical High $95.50 | Professional | None | $77.62 | $83.18 | $95.50 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $7.76 Median $8.32 Typical High $9.55 | Professional | RR · Rental | $7.76 | $8.32 | $9.55 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $57.54 Median $57.54 Typical High $69.18 | Professional | UE · Used equipment | $57.54 | $57.54 | $69.18 |
MVP Health Care Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
MVP Health Care Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $63.10 | Professional | None | $8.91 | $8.91 | $63.10 |
United Setting Professional Modifier None Typical Low $42.66 Median $70.79 Typical High $93.33 | Professional | None | $42.66 | $70.79 | $93.33 |
United Setting Professional Modifier RR · Rental Typical Low $4.27 Median $7.08 Typical High $9.33 | Professional | RR · Rental | $4.27 | $7.08 | $9.33 |
United Setting Professional Modifier UE · Used equipment Typical Low $31.62 Median $52.48 Typical High $69.18 | Professional | UE · Used equipment | $31.62 | $52.48 | $69.18 |
Univera Setting Facility Modifier None Typical Low $77.62 Median $95.50 Typical High $95.50 | Facility | None | $77.62 | $95.50 | $95.50 |
Univera Setting Professional Modifier None Typical Low $77.62 Median $93.33 Typical High $95.50 | Professional | None | $77.62 | $93.33 | $95.50 |
Univera Setting Professional Modifier RR · Rental Typical Low $7.76 Median $9.33 Typical High $9.55 | Professional | RR · Rental | $7.76 | $9.33 | $9.55 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $57.54 Median $61.66 Typical High $69.18 | Professional | UE · Used equipment | $57.54 | $61.66 | $69.18 |
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 $9.33 Median $9.33 Typical High $9.33 | Professional | KH · Purchase or 1st rental month | $9.33 | $9.33 | $9.33 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | KU · Bidding program group 3 | $109.65 | $109.65 | $109.65 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | KH · Purchase or 1st rental month | $9.33 | $9.33 | $9.33 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | KU · Bidding program group 3 | $109.65 | $109.65 | $109.65 |
Where New York sits
The same service costs 4.6 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· 17th of 51
$91.20
KS $263IL $57.54
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.