How much rates vary
Facilitymedian $1,413 · 10th to 90th $1,122 to $2,951Professionalmedian $1,349 · 10th to 90th $1,000 to $1,445
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 $724.44 Median $1,047.13 Typical High $1,659.59 | Facility | None | $724.44 | $1,047.13 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,659.59 | Professional | None | $1,047.13 | $1,047.13 | $1,659.59 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $776.25 Median $776.25 Typical High $1,258.93 | Professional | UE · Used equipment | $776.25 | $776.25 | $1,258.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $3,467.37 | Facility | None | $1,737.80 | $1,737.80 | $3,467.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $2,511.89 | Professional | None | $1,318.26 | $1,318.26 | $2,511.89 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $131.83 Median $131.83 Typical High $239.88 | Professional | RR · Rental | $131.83 | $131.83 | $239.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | UE · Used equipment | $977.24 | $977.24 | $977.24 |
CDPHP Setting Professional Modifier None Typical Low $147.91 Median $1,122.02 Typical High $1,479.11 | Professional | None | $147.91 | $1,122.02 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $1,122.02 Typical High $2,137.96 | Facility | None | $478.63 | $1,122.02 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,122.02 Typical High $1,202.26 | Professional | None | $954.99 | $1,122.02 | $1,202.26 |
Emblem Health Setting Facility Modifier None Typical Low $1,737.80 Median $2,884.03 Typical High $6,309.57 | Facility | None | $1,737.80 | $2,884.03 | $6,309.57 |
Emblem Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,148.15 Typical High $1,621.81 | Professional | None | $1,096.48 | $1,148.15 | $1,621.81 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Excellus BCBS Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,445.44 | Professional | None | $1,348.96 | $1,348.96 | $1,445.44 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $134.90 Median $134.90 Typical High $144.54 | Professional | RR · Rental | $134.90 | $134.90 | $144.54 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,000.00 Median $1,023.29 Typical High $1,071.52 | Professional | UE · Used equipment | $1,000.00 | $1,023.29 | $1,071.52 |
MVP Health Care Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | None | $3,090.30 | $3,090.30 | $3,090.30 |
MVP Health Care Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,949.84 | Professional | None | $1,023.29 | $1,023.29 | $1,949.84 |
United Setting Professional Modifier None Typical Low $602.56 Median $1,047.13 Typical High $1,412.54 | Professional | None | $602.56 | $1,047.13 | $1,412.54 |
United Setting Professional Modifier RR · Rental Typical Low $60.26 Median $102.33 Typical High $141.25 | Professional | RR · Rental | $60.26 | $102.33 | $141.25 |
United Setting Professional Modifier UE · Used equipment Typical Low $446.68 Median $776.25 Typical High $1,071.52 | Professional | UE · Used equipment | $446.68 | $776.25 | $1,071.52 |
Univera Setting Facility Modifier None Typical Low $1,348.96 Median $1,412.54 Typical High $1,548.82 | Facility | None | $1,348.96 | $1,412.54 | $1,548.82 |
Univera Setting Professional Modifier None Typical Low $1,348.96 Median $1,412.54 Typical High $1,445.44 | Professional | None | $1,348.96 | $1,412.54 | $1,445.44 |
Univera Setting Professional Modifier RR · Rental Typical Low $134.90 Median $141.25 Typical High $144.54 | Professional | RR · Rental | $134.90 | $141.25 | $144.54 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $1,000.00 Median $1,023.29 Typical High $1,071.52 | Professional | UE · Used equipment | $1,000.00 | $1,023.29 | $1,071.52 |
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 $144.54 Median $144.54 Typical High $144.54 | Professional | KH · Purchase or 1st rental month | $144.54 | $144.54 | $144.54 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | KH · Purchase or 1st rental month | $144.54 | $144.54 | $144.54 |
Where New York sits
The same service costs 3.9 times more in Kansas than in Arizona. 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· 17th of 51
$1,349
KS $3,715AZ $955
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.