How much rates vary
Facilitymedian $42 · 10th to 90th $32 to $339Professionalmedian $269 · 10th to 90th $25 to $347
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $263.03 Median $346.74 Typical High $489.78 | Facility | None | $263.03 | $346.74 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $489.78 | Professional | None (both parts) | $346.74 | $346.74 | $489.78 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $263.03 Median $263.03 Typical High $363.08 | Professional | UE · Used equipment | $263.03 | $263.03 | $363.08 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | RR · Rental | $36.31 | $36.31 | $36.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $213.80 | $302.00 | $302.00 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $30.20 Median $30.20 Typical High $74.13 | Professional | RR · Rental | $30.20 | $30.20 | $74.13 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | UE · Used equipment | $223.87 | $223.87 | $223.87 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $616.60 | Professional | None (both parts) | $46.77 | $46.77 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $316.23 | Facility | None | $31.62 | $31.62 | $316.23 |
Cigna Setting Facility Modifier RR · Rental Typical Low $13.18 Median $31.62 Typical High $58.88 | Facility | RR · Rental | $13.18 | $31.62 | $58.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
Cigna Setting Professional Modifier RR · Rental Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | RR · Rental | $26.92 | $26.92 | $26.92 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $50.12 Median $81.28 Typical High $177.83 | Facility | RR · Rental | $50.12 | $81.28 | $177.83 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
Emblem Health Setting Professional Modifier RR · Rental Typical Low $50.12 Median $54.95 Typical High $85.11 | Professional | RR · Rental | $50.12 | $54.95 | $85.11 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $44.67 | Professional | None (both parts) | $41.69 | $41.69 | $44.67 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $41.69 Median $42.66 Typical High $44.67 | Professional | RR · Rental | $41.69 | $42.66 | $44.67 |
Highmark BCBS Setting Professional Modifier RR · Rental Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | RR · Rental | $39.81 | $39.81 | $39.81 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | RR · Rental | $26.92 | $26.92 | $26.92 |
United Setting Professional Modifier None (both parts) Typical Low $16.22 Median $26.92 Typical High $33.88 | Professional | None (both parts) | $16.22 | $26.92 | $33.88 |
United Setting Professional Modifier RR · Rental Typical Low $16.22 Median $29.51 Typical High $36.31 | Professional | RR · Rental | $16.22 | $29.51 | $36.31 |
Univera Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $57.54 | Facility | None | $41.69 | $41.69 | $57.54 |
Univera Setting Professional Modifier None (both parts) Typical Low $24.55 Median $41.69 Typical High $44.67 | Professional | None (both parts) | $24.55 | $41.69 | $44.67 |
Univera Setting Professional Modifier RR · Rental Typical Low $24.55 Median $42.66 Typical High $44.67 | Professional | RR · Rental | $24.55 | $42.66 | $44.67 |
3 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $53.70 Typical High $77.62 | Professional | 26 · Professional part | $50.12 | $53.70 | $77.62 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | KH · Purchase or 1st rental month | $42.66 | $42.66 | $42.66 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | KH · Purchase or 1st rental month | $42.66 | $42.66 | $42.66 |
Where New York sits
The same service costs 30.2 times more in Wyoming than in Hawaii. 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
$269
WY $676HI $22.39
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.