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 $1,071.52 Median $1,479.11 Typical High $2,398.83 | Facility | None | $1,071.52 | $1,479.11 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $2,398.83 | Professional | None | $1,479.11 | $1,479.11 | $2,398.83 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,122.02 Median $1,122.02 Typical High $1,778.28 | Professional | UE · Used equipment | $1,122.02 | $1,122.02 | $1,778.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $4,897.79 | Facility | None | $2,454.71 | $2,454.71 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $3,715.35 | Professional | None | $1,949.84 | $1,949.84 | $3,715.35 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $194.98 Median $194.98 Typical High $354.81 | Professional | RR · Rental | $194.98 | $194.98 | $354.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | UE · Used equipment | $1,479.11 | $1,479.11 | $1,479.11 |
CDPHP Setting Professional Modifier None Typical Low $229.09 Median $1,698.24 Typical High $2,290.87 | Professional | None | $229.09 | $1,698.24 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,778.28 Typical High $3,090.30 | Facility | None | $691.83 | $1,778.28 | $3,090.30 |
Cigna Setting Facility Modifier RR · Rental Typical Low $69.18 Median $177.83 Typical High $309.03 | Facility | RR · Rental | $69.18 | $177.83 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,778.28 Typical High $2,089.30 | Professional | None | $1,513.56 | $1,778.28 | $2,089.30 |
Cigna Setting Professional Modifier RR · Rental Typical Low $151.36 Median $177.83 Typical High $177.83 | Professional | RR · Rental | $151.36 | $177.83 | $177.83 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $1,122.02 Median $1,318.26 Typical High $1,318.26 | Professional | UE · Used equipment | $1,122.02 | $1,318.26 | $1,318.26 |
Emblem Health Setting Facility Modifier None Typical Low $2,454.71 Median $4,073.80 Typical High $8,912.51 | Facility | None | $2,454.71 | $4,073.80 | $8,912.51 |
Emblem Health Setting Professional Modifier None Typical Low $1,513.56 Median $1,584.89 Typical High $2,290.87 | Professional | None | $1,513.56 | $1,584.89 | $2,290.87 |
Excellus BCBS Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Excellus BCBS Setting Professional Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,137.96 | Professional | None | $2,041.74 | $2,041.74 | $2,137.96 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $204.17 Median $204.17 Typical High $213.80 | Professional | RR · Rental | $204.17 | $204.17 | $213.80 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,513.56 Median $1,548.82 Typical High $1,548.82 | Professional | UE · Used equipment | $1,513.56 | $1,548.82 | $1,548.82 |
MVP Health Care Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
MVP Health Care Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,754.23 | Professional | None | $1,445.44 | $1,445.44 | $2,754.23 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,548.82 Typical High $2,041.74 | Professional | None | $912.01 | $1,548.82 | $2,041.74 |
United Setting Professional Modifier RR · Rental Typical Low $91.20 Median $154.88 Typical High $204.17 | Professional | RR · Rental | $91.20 | $154.88 | $204.17 |
United Setting Professional Modifier UE · Used equipment Typical Low $676.08 Median $1,148.15 Typical High $1,548.82 | Professional | UE · Used equipment | $676.08 | $1,148.15 | $1,548.82 |
Univera Setting Facility Modifier None Typical Low $2,041.74 Median $2,137.96 Typical High $2,238.72 | Facility | None | $2,041.74 | $2,137.96 | $2,238.72 |
Univera Setting Professional Modifier None Typical Low $2,041.74 Median $2,089.30 Typical High $2,137.96 | Professional | None | $2,041.74 | $2,089.30 | $2,137.96 |
Univera Setting Professional Modifier RR · Rental Typical Low $204.17 Median $208.93 Typical High $213.80 | Professional | RR · Rental | $204.17 | $208.93 | $213.80 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $1,513.56 Median $1,548.82 Typical High $1,548.82 | Professional | UE · Used equipment | $1,513.56 | $1,548.82 | $1,548.82 |
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 $208.93 Median $208.93 Typical High $208.93 | Professional | KH · Purchase or 1st rental month | $208.93 | $208.93 | $208.93 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | KH · Purchase or 1st rental month | $208.93 | $208.93 | $208.93 |
Where New York sits
The same service costs 4.7 times more in Kansas than in Illinois. 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· 15th of 51
$2,042
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.