How much rates vary
Facilitymedian $36 · 10th to 90th $36 to $93Professionalmedian $38 · 10th to 90th $33 to $48
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 $23.44 Median $34.67 Typical High $53.70 | Facility | None | $23.44 | $34.67 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $53.70 | Professional | None | $34.67 | $34.67 | $53.70 |
Aetna Setting Professional Modifier RR · Rental Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | RR · Rental | $5.37 | $5.37 | $5.37 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $25.70 Median $25.70 Typical High $39.81 | Professional | UE · Used equipment | $25.70 | $25.70 | $39.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $112.20 | Facility | None | $54.95 | $54.95 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $79.43 | Professional | None | $44.67 | $44.67 | $79.43 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.47 Median $4.47 Typical High $7.24 | Professional | RR · Rental | $4.47 | $4.47 | $7.24 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | UE · Used equipment | $33.88 | $33.88 | $33.88 |
CDPHP Setting Professional Modifier None Typical Low $5.13 Median $38.02 Typical High $51.29 | Professional | None | $5.13 | $38.02 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $36.31 Typical High $70.79 | Facility | None | $15.49 | $36.31 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $40.74 | Professional | None | $30.90 | $36.31 | $40.74 |
Emblem Health Setting Facility Modifier None Typical Low $54.95 Median $91.20 Typical High $199.53 | Facility | None | $54.95 | $91.20 | $199.53 |
Emblem Health Setting Professional Modifier None Typical Low $32.36 Median $36.31 Typical High $51.29 | Professional | None | $32.36 | $36.31 | $51.29 |
Excellus BCBS Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Excellus BCBS Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $45.71 | Professional | None | $36.31 | $36.31 | $45.71 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $3.63 Median $3.63 Typical High $4.57 | Professional | RR · Rental | $3.63 | $3.63 | $4.57 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $26.92 Median $26.92 Typical High $34.67 | Professional | UE · Used equipment | $26.92 | $26.92 | $34.67 |
MVP Health Care Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
MVP Health Care Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $32.36 | Professional | None | $4.07 | $4.07 | $32.36 |
United Setting Professional Modifier None Typical Low $19.95 Median $33.88 Typical High $45.71 | Professional | None | $19.95 | $33.88 | $45.71 |
United Setting Professional Modifier RR · Rental Typical Low $2.00 Median $3.39 Typical High $4.57 | Professional | RR · Rental | $2.00 | $3.39 | $4.57 |
United Setting Professional Modifier UE · Used equipment Typical Low $14.79 Median $25.12 Typical High $34.67 | Professional | UE · Used equipment | $14.79 | $25.12 | $34.67 |
Univera Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Univera Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $45.71 | Professional | None | $36.31 | $36.31 | $45.71 |
Univera Setting Professional Modifier RR · Rental Typical Low $3.63 Median $3.63 Typical High $4.57 | Professional | RR · Rental | $3.63 | $3.63 | $4.57 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $26.92 Median $28.84 Typical High $34.67 | Professional | UE · Used equipment | $26.92 | $28.84 | $34.67 |
5 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | MS · Maintenance fee | $5.37 | $5.37 | $5.37 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | KH · Purchase or 1st rental month | $4.57 | $4.57 | $4.57 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | KU · Bidding program group 3 | $51.29 | $51.29 | $51.29 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | KH · Purchase or 1st rental month | $4.57 | $4.57 | $4.57 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | KU · Bidding program group 3 | $51.29 | $51.29 | $51.29 |
Where New York sits
The same service costs 2.6 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· 36th of 51
$36.31
KS $74.13IL $28.18
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.