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 $2,041.74 Median $3,801.89 Typical High $5,248.07 | Facility | None | $2,041.74 | $3,801.89 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $3,548.13 Median $3,801.89 Typical High $5,248.07 | Professional | None | $3,548.13 | $3,801.89 | $5,248.07 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $2,344.23 Median $2,818.38 Typical High $3,890.45 | Professional | UE · Used equipment | $2,344.23 | $2,818.38 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,290.87 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,290.87 | $2,951.21 | $2,951.21 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $295.12 Median $295.12 Typical High $758.58 | Professional | RR · Rental | $295.12 | $295.12 | $758.58 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | UE · Used equipment | $2,238.72 | $2,238.72 | $2,238.72 |
CDPHP Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $7,079.46 | Professional | None | $549.54 | $549.54 | $7,079.46 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $4,570.88 | Facility | None | $2,691.53 | $2,691.53 | $4,570.88 |
Cigna Setting Facility Modifier RR · Rental Typical Low $138.04 Median $269.15 Typical High $616.60 | Facility | RR · Rental | $138.04 | $269.15 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,290.87 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier RR · Rental Typical Low $229.09 Median $269.15 Typical High $269.15 | Professional | RR · Rental | $229.09 | $269.15 | $269.15 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $467.74 Median $776.25 Typical High $1,698.24 | Facility | RR · Rental | $467.74 | $776.25 | $1,698.24 |
Emblem Health Setting Professional Modifier None Typical Low $3,548.13 Median $4,466.84 Typical High $4,466.84 | Professional | None | $3,548.13 | $4,466.84 | $4,466.84 |
Excellus BCBS Setting Facility Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | None | $4,466.84 | $4,466.84 | $4,466.84 |
Excellus BCBS Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $4,466.84 | Professional | None | $3,801.89 | $3,801.89 | $4,466.84 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $380.19 Median $380.19 Typical High $446.68 | Professional | RR · Rental | $380.19 | $380.19 | $446.68 |
MVP Health Care Setting Facility Modifier None Typical Low $9,549.93 Median $9,549.93 Typical High $9,549.93 | Facility | None | $9,549.93 | $9,549.93 | $9,549.93 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $275.42 Median $275.42 Typical High $524.81 | Professional | RR · Rental | $275.42 | $275.42 | $524.81 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $2,511.89 Typical High $3,548.13 | Professional | None | $1,698.24 | $2,511.89 | $3,548.13 |
United Setting Professional Modifier RR · Rental Typical Low $223.87 Median $363.08 Typical High $478.63 | Professional | RR · Rental | $223.87 | $363.08 | $478.63 |
Univera Setting Facility Modifier None Typical Low $3,801.89 Median $4,466.84 Typical High $4,466.84 | Facility | None | $3,801.89 | $4,466.84 | $4,466.84 |
Univera Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $4,466.84 | Professional | None | $3,801.89 | $3,801.89 | $4,466.84 |
Univera Setting Professional Modifier RR · Rental Typical Low $380.19 Median $446.68 Typical High $446.68 | Professional | RR · Rental | $380.19 | $446.68 | $446.68 |
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 $446.68 Median $446.68 Typical High $446.68 | Professional | KH · Purchase or 1st rental month | $446.68 | $446.68 | $446.68 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Professional | RB · Replacement part | $5,888.44 | $5,888.44 | $5,888.44 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | KH · Purchase or 1st rental month | $446.68 | $446.68 | $446.68 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Professional | RB · Replacement part | $5,888.44 | $5,888.44 | $5,888.44 |
Where New York sits
The same service costs 12.6 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· 11th of 51
$3,802
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.