How much rates vary
Facilitymedian $4,266 · 10th to 90th $3,388 to $4,467Professionalmedian $3,548 · 10th to 90th $1,995 to $4,266
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 $1,905.46 Median $3,548.13 Typical High $5,011.87 | Facility | None | $1,905.46 | $3,548.13 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $5,011.87 | Professional | None | $3,548.13 | $3,548.13 | $5,011.87 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $2,630.27 Median $2,630.27 Typical High $3,801.89 | Professional | UE · Used equipment | $2,630.27 | $2,630.27 | $3,801.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,187.76 Median $2,691.53 Typical High $2,691.53 | Professional | None | $2,187.76 | $2,691.53 | $2,691.53 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $269.15 Median $269.15 Typical High $724.44 | Professional | RR · Rental | $269.15 | $269.15 | $724.44 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | UE · Used equipment | $2,041.74 | $2,041.74 | $2,041.74 |
CDPHP Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $6,606.93 | Professional | None | $501.19 | $501.19 | $6,606.93 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $3,388.44 Typical High $4,365.16 | Facility | None | $2,570.40 | $3,388.44 | $4,365.16 |
Cigna Setting Facility Modifier RR · Rental Typical Low $128.82 Median $338.84 Typical High $575.44 | Facility | RR · Rental | $128.82 | $338.84 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $2,818.38 Median $3,388.44 Typical High $3,388.44 | Professional | None | $2,818.38 | $3,388.44 | $3,388.44 |
Cigna Setting Professional Modifier RR · Rental Typical Low $281.84 Median $338.84 Typical High $338.84 | Professional | RR · Rental | $281.84 | $338.84 | $338.84 |
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 $3,388.44 Median $4,265.80 Typical High $4,265.80 | Professional | None | $3,388.44 | $4,265.80 | $4,265.80 |
Excellus BCBS Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Excellus BCBS Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $4,265.80 | Professional | None | $3,630.78 | $3,630.78 | $4,265.80 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $363.08 Median $363.08 Typical High $436.52 | Professional | RR · Rental | $363.08 | $363.08 | $436.52 |
MVP Health Care Setting Facility Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Facility | None | $9,120.11 | $9,120.11 | $9,120.11 |
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 $1,621.81 Median $2,187.76 Typical High $2,884.03 | Professional | None | $1,621.81 | $2,187.76 | $2,884.03 |
United Setting Professional Modifier RR · Rental Typical Low $177.83 Median $323.59 Typical High $416.87 | Professional | RR · Rental | $177.83 | $323.59 | $416.87 |
Univera Setting Facility Modifier None Typical Low $3,548.13 Median $4,265.80 Typical High $4,265.80 | Facility | None | $3,548.13 | $4,265.80 | $4,265.80 |
Univera Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $4,265.80 | Professional | None | $3,630.78 | $3,630.78 | $4,265.80 |
Univera Setting Professional Modifier RR · Rental Typical Low $363.08 Median $426.58 Typical High $436.52 | Professional | RR · Rental | $363.08 | $426.58 | $436.52 |
6 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 BP · Chose to purchase Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | BP · Chose to purchase | $2,884.03 | $2,884.03 | $2,884.03 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | KH · Purchase or 1st rental month | $436.52 | $436.52 | $436.52 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Professional | RB · Replacement part | $5,623.41 | $5,623.41 | $5,623.41 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | BP · Chose to purchase | $2,884.03 | $2,884.03 | $2,884.03 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | KH · Purchase or 1st rental month | $436.52 | $436.52 | $436.52 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Professional | RB · Replacement part | $5,623.41 | $5,623.41 | $5,623.41 |
Where New York sits
The same service costs 9.8 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· 13th of 51
$3,548
KS $5,754MT $589
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.