How much rates vary
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 $588.84 Median $758.58 Typical High $1,071.52 | Facility | None | $588.84 | $758.58 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $1,071.52 | Professional | None | $758.58 | $758.58 | $1,071.52 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $575.44 Median $575.44 Typical High $794.33 | Professional | UE · Used equipment | $575.44 | $575.44 | $794.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,995.26 | Facility | None | $1,000.00 | $1,000.00 | $1,995.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,621.81 | Professional | None | $812.83 | $812.83 | $1,621.81 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $81.28 Median $81.28 Typical High $154.88 | Professional | RR · Rental | $81.28 | $81.28 | $154.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | UE · Used equipment | $602.56 | $602.56 | $602.56 |
CDPHP Setting Professional Modifier None Typical Low $109.65 Median $831.76 Typical High $1,096.48 | Professional | None | $109.65 | $831.76 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $676.08 Typical High $1,412.54 | Facility | None | $316.23 | $676.08 | $1,412.54 |
Cigna Setting Facility Modifier RR · Rental Typical Low $28.84 Median $67.61 Typical High $128.82 | Facility | RR · Rental | $28.84 | $67.61 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $676.08 Typical High $891.25 | Professional | None | $575.44 | $676.08 | $891.25 |
Cigna Setting Professional Modifier RR · Rental Typical Low $57.54 Median $67.61 Typical High $67.61 | Professional | RR · Rental | $57.54 | $67.61 | $67.61 |
Emblem Health Setting Facility Modifier None Typical Low $1,000.00 Median $1,659.59 Typical High $3,630.78 | Facility | None | $1,000.00 | $1,659.59 | $3,630.78 |
Emblem Health Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $954.99 | Professional | None | $645.65 | $645.65 | $954.99 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Excellus BCBS Setting Professional Modifier None Typical Low $933.25 Median $1,122.02 Typical High $1,174.90 | Professional | None | $933.25 | $1,122.02 | $1,174.90 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $93.33 Median $112.20 Typical High $117.49 | Professional | RR · Rental | $93.33 | $112.20 | $117.49 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $691.83 Median $831.76 Typical High $831.76 | Professional | UE · Used equipment | $691.83 | $831.76 | $831.76 |
Highmark BCBS Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
MVP Health Care Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
MVP Health Care Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $1,122.02 | Professional | None | $588.84 | $588.84 | $1,122.02 |
United Setting Professional Modifier None Typical Low $501.19 Median $741.31 Typical High $1,047.13 | Professional | None | $501.19 | $741.31 | $1,047.13 |
United Setting Professional Modifier RR · Rental Typical Low $50.12 Median $74.13 Typical High $102.33 | Professional | RR · Rental | $50.12 | $74.13 | $102.33 |
United Setting Professional Modifier UE · Used equipment Typical Low $371.54 Median $549.54 Typical High $758.58 | Professional | UE · Used equipment | $371.54 | $549.54 | $758.58 |
Univera Setting Facility Modifier None Typical Low $1,122.02 Median $1,174.90 Typical High $1,288.25 | Facility | None | $1,122.02 | $1,174.90 | $1,288.25 |
Univera Setting Professional Modifier None Typical Low $933.25 Median $1,122.02 Typical High $1,174.90 | Professional | None | $933.25 | $1,122.02 | $1,174.90 |
Univera Setting Professional Modifier RR · Rental Typical Low $93.33 Median $112.20 Typical High $117.49 | Professional | RR · Rental | $93.33 | $112.20 | $117.49 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $691.83 Median $831.76 Typical High $831.76 | Professional | UE · Used equipment | $691.83 | $831.76 | $831.76 |
2 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 $93.33 Median $93.33 Typical High $93.33 | Professional | KH · Purchase or 1st rental month | $93.33 | $93.33 | $93.33 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | KH · Purchase or 1st rental month | $93.33 | $93.33 | $93.33 |
Where New York sits
The same service costs 5.4 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· 11th of 51
$1,000
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.