How much rates vary
Facilitymedian $30 · 10th to 90th $22 to $68Professionalmedian $26 · 10th to 90th $18 to $30
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 $13.80 Median $20.42 Typical High $32.36 | Facility | None | $13.80 | $20.42 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $20.42 Typical High $32.36 | Professional | None | $12.02 | $20.42 | $32.36 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $8.91 Median $15.49 Typical High $24.55 | Professional | UE · Used equipment | $8.91 | $15.49 | $24.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $67.61 | Facility | None | $33.88 | $33.88 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $42.66 | Professional | None | $26.92 | $26.92 | $42.66 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.69 Median $2.69 Typical High $4.68 | Professional | RR · Rental | $2.69 | $2.69 | $4.68 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | UE · Used equipment | $19.95 | $19.95 | $19.95 |
CDPHP Setting Professional Modifier None Typical Low $3.02 Median $22.91 Typical High $30.20 | Professional | None | $3.02 | $22.91 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $22.39 Typical High $42.66 | Facility | None | $9.55 | $22.39 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $22.39 Typical High $29.51 | Professional | None | $19.05 | $22.39 | $29.51 |
Emblem Health Setting Facility Modifier None Typical Low $33.88 Median $56.23 Typical High $123.03 | Facility | None | $33.88 | $56.23 | $123.03 |
Emblem Health Setting Professional Modifier None Typical Low $20.89 Median $21.88 Typical High $31.62 | Professional | None | $20.89 | $21.88 | $31.62 |
Excellus BCBS Setting Professional Modifier None Typical Low $23.99 Median $24.55 Typical High $28.18 | Professional | None | $23.99 | $24.55 | $28.18 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $2.45 Median $2.45 Typical High $2.82 | Professional | RR · Rental | $2.45 | $2.45 | $2.82 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $18.20 Typical High $20.89 | Professional | UE · Used equipment | $18.20 | $18.20 | $20.89 |
MVP Health Care Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $38.02 | Professional | None | $19.95 | $19.95 | $38.02 |
United Setting Professional Modifier None Typical Low $13.49 Median $21.88 Typical High $27.54 | Professional | None | $13.49 | $21.88 | $27.54 |
United Setting Professional Modifier RR · Rental Typical Low $1.35 Median $2.14 Typical High $2.82 | Professional | RR · Rental | $1.35 | $2.14 | $2.82 |
United Setting Professional Modifier UE · Used equipment Typical Low $10.00 Median $16.60 Typical High $20.89 | Professional | UE · Used equipment | $10.00 | $16.60 | $20.89 |
Univera Setting Facility Modifier None Typical Low $23.99 Median $24.55 Typical High $24.55 | Facility | None | $23.99 | $24.55 | $24.55 |
Univera Setting Professional Modifier None Typical Low $23.99 Median $24.55 Typical High $28.18 | Professional | None | $23.99 | $24.55 | $28.18 |
Univera Setting Professional Modifier RR · Rental Typical Low $2.45 Median $2.45 Typical High $2.82 | Professional | RR · Rental | $2.45 | $2.45 | $2.82 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $18.20 Typical High $20.89 | Professional | UE · Used equipment | $18.20 | $18.20 | $20.89 |
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 $2.82 Median $2.82 Typical High $2.82 | Professional | KH · Purchase or 1st rental month | $2.82 | $2.82 | $2.82 |
Excellus BCBS Setting Professional Modifier KU · Bidding program group 3 Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | KU · Bidding program group 3 | $30.20 | $30.20 | $30.20 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | KH · Purchase or 1st rental month | $2.82 | $2.82 | $2.82 |
Univera Setting Professional Modifier KU · Bidding program group 3 Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | KU · Bidding program group 3 | $30.20 | $30.20 | $30.20 |
Where New York sits
The same service costs 2.4 times more in Hawaii 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· 27th of 51
$25.70
HI $38.90NM $16.22
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.