How much rates vary
Facilitymedian $3,388 · 10th to 90th $2,239 to $3,548Professionalmedian $2,818 · 10th to 90th $1,622 to $3,388
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 $1,548.82 Median $2,818.38 Typical High $3,715.35 | Facility | None | $1,548.82 | $2,818.38 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $3,715.35 | Professional | None | $2,818.38 | $2,818.38 | $3,715.35 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $2,137.96 Median $2,137.96 Typical High $2,818.38 | Professional | UE · Used equipment | $2,137.96 | $2,137.96 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,778.28 Median $2,630.27 Typical High $2,630.27 | Professional | None | $1,778.28 | $2,630.27 | $2,630.27 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $263.03 Median $263.03 Typical High $549.54 | Professional | RR · Rental | $263.03 | $263.03 | $549.54 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | UE · Used equipment | $1,995.26 | $1,995.26 | $1,995.26 |
CDPHP Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $5,248.07 | Professional | None | $407.38 | $407.38 | $5,248.07 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $2,238.72 Typical High $3,467.37 | Facility | None | $2,041.74 | $2,238.72 | $3,467.37 |
Cigna Setting Facility Modifier RR · Rental Typical Low $95.50 Median $223.87 Typical High $426.58 | Facility | RR · Rental | $95.50 | $223.87 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $2,238.72 Typical High $2,238.72 | Professional | None | $1,905.46 | $2,238.72 | $2,238.72 |
Cigna Setting Professional Modifier RR · Rental Typical Low $190.55 Median $223.87 Typical High $223.87 | Professional | RR · Rental | $190.55 | $223.87 | $223.87 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $331.13 Median $537.03 Typical High $1,174.90 | Facility | RR · Rental | $331.13 | $537.03 | $1,174.90 |
Emblem Health Setting Professional Modifier None Typical Low $2,691.53 Median $3,388.44 Typical High $3,388.44 | Professional | None | $2,691.53 | $3,388.44 | $3,388.44 |
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 $2,951.21 Median $2,951.21 Typical High $3,388.44 | Professional | None | $2,951.21 | $2,951.21 | $3,388.44 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $295.12 Median $295.12 Typical High $338.84 | Professional | RR · Rental | $295.12 | $295.12 | $338.84 |
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 RR · Rental Typical Low $190.55 Median $190.55 Typical High $363.08 | Professional | RR · Rental | $190.55 | $190.55 | $363.08 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,862.09 Typical High $2,630.27 | Professional | None | $1,288.25 | $1,862.09 | $2,630.27 |
United Setting Professional Modifier RR · Rental Typical Low $162.18 Median $263.03 Typical High $354.81 | Professional | RR · Rental | $162.18 | $263.03 | $354.81 |
Univera Setting Facility Modifier None Typical Low $2,884.03 Median $3,388.44 Typical High $3,388.44 | Facility | None | $2,884.03 | $3,388.44 | $3,388.44 |
Univera Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,388.44 | Professional | None | $2,951.21 | $2,951.21 | $3,388.44 |
Univera Setting Professional Modifier RR · Rental Typical Low $295.12 Median $323.59 Typical High $338.84 | Professional | RR · Rental | $295.12 | $323.59 | $338.84 |
4 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 $323.59 Median $323.59 Typical High $323.59 | Professional | KH · Purchase or 1st rental month | $323.59 | $323.59 | $323.59 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Professional | RB · Replacement part | $4,168.69 | $4,168.69 | $4,168.69 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | KH · Purchase or 1st rental month | $323.59 | $323.59 | $323.59 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Professional | RB · Replacement part | $4,168.69 | $4,168.69 | $4,168.69 |
Where New York sits
The same service costs 13.5 times more in Kansas than in Montana. 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· 12th of 51
$2,818
KS $5,754MT $427
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.