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 $1,698.24 Median $2,454.71 Typical High $3,981.07 | Facility | None | $1,698.24 | $2,454.71 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,981.07 | Professional | None | $2,454.71 | $2,454.71 | $3,981.07 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,819.70 Median $1,819.70 Typical High $2,951.21 | Professional | UE · Used equipment | $1,819.70 | $1,819.70 | $2,951.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $8,317.64 | Facility | None | $4,168.69 | $4,168.69 | $8,317.64 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $5,888.44 | Professional | None | $3,162.28 | $3,162.28 | $5,888.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $316.23 Median $316.23 Typical High $575.44 | Professional | RR · Rental | $316.23 | $316.23 | $575.44 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | UE · Used equipment | $2,344.23 | $2,344.23 | $2,344.23 |
CDPHP Setting Professional Modifier None Typical Low $354.81 Median $2,630.27 Typical High $3,548.13 | Professional | None | $354.81 | $2,630.27 | $3,548.13 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $2,691.53 Typical High $5,128.61 | Facility | None | $1,148.15 | $2,691.53 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $2,691.53 Typical High $2,884.03 | Professional | None | $2,290.87 | $2,691.53 | $2,884.03 |
Emblem Health Setting Facility Modifier None Typical Low $4,168.69 Median $6,918.31 Typical High $15,135.61 | Facility | None | $4,168.69 | $6,918.31 | $15,135.61 |
Emblem Health Setting Professional Modifier None Typical Low $2,570.40 Median $2,754.23 Typical High $3,890.45 | Professional | None | $2,570.40 | $2,754.23 | $3,890.45 |
Excellus BCBS Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,388.44 | $3,388.44 | $3,388.44 |
Excellus BCBS Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,467.37 | Professional | None | $3,162.28 | $3,162.28 | $3,467.37 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $316.23 Median $316.23 Typical High $346.74 | Professional | RR · Rental | $316.23 | $316.23 | $346.74 |
Excellus BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,344.23 Median $2,398.83 Typical High $2,570.40 | Professional | UE · Used equipment | $2,344.23 | $2,398.83 | $2,570.40 |
MVP Health Care Setting Facility Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $7,244.36 | Facility | None | $7,244.36 | $7,244.36 | $7,244.36 |
MVP Health Care Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $4,677.35 | Professional | None | $2,454.71 | $2,454.71 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,412.54 Median $2,454.71 Typical High $3,311.31 | Professional | None | $1,412.54 | $2,454.71 | $3,311.31 |
United Setting Professional Modifier RR · Rental Typical Low $141.25 Median $245.47 Typical High $331.13 | Professional | RR · Rental | $141.25 | $245.47 | $331.13 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,047.13 Median $1,819.70 Typical High $2,511.89 | Professional | UE · Used equipment | $1,047.13 | $1,819.70 | $2,511.89 |
Univera Setting Facility Modifier None Typical Low $3,162.28 Median $3,388.44 Typical High $3,548.13 | Facility | None | $3,162.28 | $3,388.44 | $3,548.13 |
Univera Setting Professional Modifier None Typical Low $3,162.28 Median $3,388.44 Typical High $3,467.37 | Professional | None | $3,162.28 | $3,388.44 | $3,467.37 |
Univera Setting Professional Modifier RR · Rental Typical Low $316.23 Median $338.84 Typical High $346.74 | Professional | RR · Rental | $316.23 | $338.84 | $346.74 |
Univera Setting Professional Modifier UE · Used equipment Typical Low $2,344.23 Median $2,398.83 Typical High $2,570.40 | Professional | UE · Used equipment | $2,344.23 | $2,398.83 | $2,570.40 |
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 $346.74 Median $346.74 Typical High $346.74 | Professional | KH · Purchase or 1st rental month | $346.74 | $346.74 | $346.74 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | KH · Purchase or 1st rental month | $346.74 | $346.74 | $346.74 |
Where New York sits
The same service costs 3.2 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· 26th of 51
$3,162
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.