How much rates vary
Facilitymedian $4,074 · 10th to 90th $2,291 to $4,074Professionalmedian $3,162 · 10th to 90th $1,820 to $4,074
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 $1,862.09 Median $3,162.28 Typical High $4,073.80 | Facility | None | $1,862.09 | $3,162.28 | $4,073.80 |
Aetna Setting Professional Modifier None Typical Low $2,818.38 Median $3,162.28 Typical High $4,073.80 | Professional | None | $2,818.38 | $3,162.28 | $4,073.80 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $2,137.96 Median $2,398.83 Typical High $3,019.95 | Professional | UE · Used equipment | $2,137.96 | $2,398.83 | $3,019.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,819.70 Median $2,089.30 Typical High $2,089.30 | Professional | None | $1,819.70 | $2,089.30 | $2,089.30 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $208.93 Median $208.93 Typical High $588.84 | Professional | RR · Rental | $208.93 | $208.93 | $588.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | UE · Used equipment | $1,548.82 | $1,548.82 | $1,548.82 |
CDPHP Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $5,888.44 | Professional | None | $457.09 | $457.09 | $5,888.44 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $3,890.45 | Facility | None | $2,290.87 | $2,290.87 | $3,890.45 |
Cigna Setting Facility Modifier RR · Rental Typical Low $97.72 Median $229.09 Typical High $436.52 | Facility | RR · Rental | $97.72 | $229.09 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,290.87 Typical High $3,235.94 | Professional | None | $1,949.84 | $2,290.87 | $3,235.94 |
Cigna Setting Professional Modifier RR · Rental Typical Low $194.98 Median $229.09 Typical High $302.00 | Professional | RR · Rental | $194.98 | $229.09 | $302.00 |
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 $3,019.95 Median $3,235.94 Typical High $4,073.80 | Professional | None | $3,019.95 | $3,235.94 | $4,073.80 |
Excellus BCBS Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Facility | None | $4,073.80 | $4,073.80 | $4,073.80 |
Excellus BCBS Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,073.80 | Professional | None | $3,467.37 | $3,467.37 | $4,073.80 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $346.74 Median $346.74 Typical High $407.38 | Professional | RR · Rental | $346.74 | $346.74 | $407.38 |
Highmark BCBS Setting Professional Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | None | $3,388.44 | $3,388.44 | $3,388.44 |
MVP Health Care Setting Facility Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $8,709.64 | Facility | None | $8,709.64 | $8,709.64 | $8,709.64 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $190.55 Median $190.55 Typical High $371.54 | Professional | RR · Rental | $190.55 | $190.55 | $371.54 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $2,089.30 Typical High $2,951.21 | Professional | None | $1,380.38 | $2,089.30 | $2,951.21 |
United Setting Professional Modifier RR · Rental Typical Low $173.78 Median $309.03 Typical High $398.11 | Professional | RR · Rental | $173.78 | $309.03 | $398.11 |
Univera Setting Facility Modifier None Typical Low $3,388.44 Median $4,073.80 Typical High $4,073.80 | Facility | None | $3,388.44 | $4,073.80 | $4,073.80 |
Univera Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,073.80 | Professional | None | $3,467.37 | $3,467.37 | $4,073.80 |
Univera Setting Professional Modifier RR · Rental Typical Low $346.74 Median $346.74 Typical High $407.38 | Professional | RR · Rental | $346.74 | $346.74 | $407.38 |
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 $346.74 Median $346.74 Typical High $346.74 | Professional | KH · Purchase or 1st rental month | $346.74 | $346.74 | $346.74 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $4,570.88 Median $4,570.88 Typical High $4,570.88 | Professional | RB · Replacement part | $4,570.88 | $4,570.88 | $4,570.88 |
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 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $4,570.88 Median $4,570.88 Typical High $4,570.88 | Professional | RB · Replacement part | $4,570.88 | $4,570.88 | $4,570.88 |
Where New York sits
The same service costs 10.7 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· 9th of 51
$3,236
KS $5,754MT $537
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.