How much rates vary
Facilitymedian $47 · 10th to 90th $43 to $135Professionalmedian $54 · 10th to 90th $43 to $68
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 $34.67 Median $51.29 Typical High $79.43 | Facility | None | $34.67 | $51.29 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $79.43 | Professional | None | $51.29 | $51.29 | $79.43 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $38.02 Median $38.02 Typical High $58.88 | Professional | UE · Used equipment | $38.02 | $38.02 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $162.18 | Facility | None | $81.28 | $81.28 | $162.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $117.49 | Professional | None | $64.57 | $64.57 | $117.49 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.46 Median $6.46 Typical High $10.72 | Professional | RR · Rental | $6.46 | $6.46 | $10.72 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | UE · Used equipment | $48.98 | $48.98 | $48.98 |
CDPHP Setting Professional Modifier None Typical Low $7.41 Median $56.23 Typical High $74.13 | Professional | None | $7.41 | $56.23 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $46.77 Typical High $102.33 | Facility | None | $22.39 | $46.77 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $56.23 | Professional | None | $39.81 | $46.77 | $56.23 |
Emblem Health Setting Facility Modifier None Typical Low $81.28 Median $134.90 Typical High $295.12 | Facility | None | $81.28 | $134.90 | $295.12 |
Emblem Health Setting Professional Modifier None Typical Low $47.86 Median $52.48 Typical High $74.13 | Professional | None | $47.86 | $52.48 | $74.13 |
Excellus BCBS Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Excellus BCBS Setting Professional Modifier None Typical Low $42.66 Median $53.70 Typical High $67.61 | Professional | None | $42.66 | $53.70 | $67.61 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $4.27 Median $5.37 Typical High $6.76 | Professional | RR · Rental | $4.27 | $5.37 | $6.76 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $39.81 Median $39.81 Typical High $51.29 | Professional | UE · Used equipment | $39.81 | $39.81 | $51.29 |
MVP Health Care Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
MVP Health Care Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $47.86 | Professional | None | $6.17 | $6.17 | $47.86 |
United Setting Professional Modifier None Typical Low $29.51 Median $48.98 Typical High $67.61 | Professional | None | $29.51 | $48.98 | $67.61 |
United Setting Professional Modifier RR · Rental Typical Low $2.95 Median $4.90 Typical High $6.76 | Professional | RR · Rental | $2.95 | $4.90 | $6.76 |
United Setting Professional Modifier UE · Used equipment Typical Low $21.88 Median $36.31 Typical High $50.12 | Professional | UE · Used equipment | $21.88 | $36.31 | $50.12 |
Univera Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $53.70 | Facility | None | $42.66 | $42.66 | $53.70 |
Univera Setting Professional Modifier None Typical Low $42.66 Median $53.70 Typical High $67.61 | Professional | None | $42.66 | $53.70 | $67.61 |
Univera Setting Professional Modifier RR · Rental Typical Low $4.27 Median $5.37 Typical High $6.76 | Professional | RR · Rental | $4.27 | $5.37 | $6.76 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $39.81 Median $42.66 Typical High $51.29 | Professional | UE · Used equipment | $39.81 | $42.66 | $51.29 |
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 $6.76 Median $6.76 Typical High $6.76 | Professional | KH · Purchase or 1st rental month | $6.76 | $6.76 | $6.76 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | KU · Bidding program group 3 | $75.86 | $75.86 | $75.86 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | KH · Purchase or 1st rental month | $6.76 | $6.76 | $6.76 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | KU · Bidding program group 3 | $75.86 | $75.86 | $75.86 |
Where New York sits
The same service costs 2.1 times more in Montana than in Arizona. 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· 31st of 51
$53.70
MT $87.10AZ $40.74
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.