How much rates vary
Facilitymedian $105 · 10th to 90th $78 to $200Professionalmedian $95 · 10th to 90th $72 to $105
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 $52.48 Median $75.86 Typical High $114.82 | Facility | None | $52.48 | $75.86 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $114.82 | Professional | None | $75.86 | $75.86 | $114.82 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $57.54 Median $57.54 Typical High $87.10 | Professional | UE · Used equipment | $57.54 | $57.54 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $234.42 | Facility | None | $117.49 | $117.49 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $173.78 | Professional | None | $95.50 | $95.50 | $173.78 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $9.55 Median $9.55 Typical High $16.22 | Professional | RR · Rental | $9.55 | $9.55 | $16.22 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | UE · Used equipment | $70.79 | $70.79 | $70.79 |
CDPHP Setting Professional Modifier None Typical Low $11.22 Median $83.18 Typical High $112.20 | Professional | None | $11.22 | $83.18 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $77.62 Typical High $147.91 | Facility | None | $33.11 | $77.62 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $77.62 Typical High $93.33 | Professional | None | $66.07 | $77.62 | $93.33 |
Emblem Health Setting Facility Modifier None Typical Low $117.49 Median $194.98 Typical High $426.58 | Facility | None | $117.49 | $194.98 | $426.58 |
Emblem Health Setting Professional Modifier None Typical Low $72.44 Median $75.86 Typical High $107.15 | Professional | None | $72.44 | $75.86 | $107.15 |
Excellus BCBS Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Excellus BCBS Setting Professional Modifier None Typical Low $81.28 Median $87.10 Typical High $104.71 | Professional | None | $81.28 | $87.10 | $104.71 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $8.13 Median $8.71 Typical High $10.47 | Professional | RR · Rental | $8.13 | $8.71 | $10.47 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $60.26 Median $60.26 Typical High $74.13 | Professional | UE · Used equipment | $60.26 | $60.26 | $74.13 |
MVP Health Care Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
MVP Health Care Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $69.18 | Professional | None | $9.12 | $9.12 | $69.18 |
United Setting Professional Modifier None Typical Low $44.67 Median $74.13 Typical High $97.72 | Professional | None | $44.67 | $74.13 | $97.72 |
United Setting Professional Modifier RR · Rental Typical Low $4.47 Median $7.41 Typical High $9.77 | Professional | RR · Rental | $4.47 | $7.41 | $9.77 |
United Setting Professional Modifier UE · Used equipment Typical Low $33.11 Median $56.23 Typical High $74.13 | Professional | UE · Used equipment | $33.11 | $56.23 | $74.13 |
Univera Setting Facility Modifier None Typical Low $81.28 Median $104.71 Typical High $104.71 | Facility | None | $81.28 | $104.71 | $104.71 |
Univera Setting Professional Modifier None Typical Low $81.28 Median $100.00 Typical High $104.71 | Professional | None | $81.28 | $100.00 | $104.71 |
Univera Setting Professional Modifier RR · Rental Typical Low $8.13 Median $10.00 Typical High $10.47 | Professional | RR · Rental | $8.13 | $10.00 | $10.47 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $60.26 Median $64.57 Typical High $74.13 | Professional | UE · Used equipment | $60.26 | $64.57 | $74.13 |
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 $10.00 Median $10.00 Typical High $10.00 | Professional | KH · Purchase or 1st rental month | $10.00 | $10.00 | $10.00 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | KU · Bidding program group 3 | $114.82 | $114.82 | $114.82 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | KH · Purchase or 1st rental month | $10.00 | $10.00 | $10.00 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | KU · Bidding program group 3 | $114.82 | $114.82 | $114.82 |
Where New York sits
The same service costs 2.8 times more in Kansas than in New Mexico. 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· 20th of 51
$95.50
KS $155NM $56.23
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.