How much rates vary
Facilitymedian $4,898 · 10th to 90th $4,074 to $5,129Professionalmedian $4,169 · 10th to 90th $2,455 to $4,898
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 $2,238.72 Median $4,168.69 Typical High $6,165.95 | Facility | None | $2,238.72 | $4,168.69 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $6,165.95 | Professional | None | $4,168.69 | $4,168.69 | $6,165.95 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $3,090.30 Median $3,090.30 Typical High $4,570.88 | Professional | UE · Used equipment | $3,090.30 | $3,090.30 | $4,570.88 |
Anthem BCBS 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 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $338.84 Median $338.84 Typical High $831.76 | Professional | RR · Rental | $338.84 | $338.84 | $831.76 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | UE · Used equipment | $2,511.89 | $2,511.89 | $2,511.89 |
CDPHP Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $7,762.47 | Professional | None | $588.84 | $588.84 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $2,951.21 Median $4,168.69 Typical High $5,011.87 | Facility | None | $2,951.21 | $4,168.69 | $5,011.87 |
Cigna Setting Facility Modifier RR · Rental Typical Low $158.49 Median $416.87 Typical High $707.95 | Facility | RR · Rental | $158.49 | $416.87 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $4,168.69 Typical High $4,168.69 | Professional | None | $3,467.37 | $4,168.69 | $4,168.69 |
Cigna Setting Professional Modifier RR · Rental Typical Low $346.74 Median $416.87 Typical High $416.87 | Professional | RR · Rental | $346.74 | $416.87 | $416.87 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $575.44 Median $954.99 Typical High $2,089.30 | Facility | RR · Rental | $575.44 | $954.99 | $2,089.30 |
Emblem Health Setting Professional Modifier None Typical Low $3,890.45 Median $4,897.79 Typical High $4,897.79 | Professional | None | $3,890.45 | $4,897.79 | $4,897.79 |
Excellus BCBS Setting Facility Modifier None Typical Low $4,897.79 Median $4,897.79 Typical High $4,897.79 | Facility | None | $4,897.79 | $4,897.79 | $4,897.79 |
Excellus BCBS Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,897.79 | Professional | None | $4,168.69 | $4,168.69 | $4,897.79 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $416.87 Median $416.87 Typical High $524.81 | Professional | RR · Rental | $416.87 | $416.87 | $524.81 |
MVP Health Care Setting Facility Modifier None Typical Low $10,471.29 Median $10,471.29 Typical High $10,471.29 | Facility | None | $10,471.29 | $10,471.29 | $10,471.29 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $338.84 Median $338.84 Typical High $645.65 | Professional | RR · Rental | $338.84 | $338.84 | $645.65 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $2,630.27 Typical High $3,467.37 | Professional | None | $1,862.09 | $2,630.27 | $3,467.37 |
United Setting Professional Modifier RR · Rental Typical Low $218.78 Median $371.54 Typical High $501.19 | Professional | RR · Rental | $218.78 | $371.54 | $501.19 |
Univera Setting Facility Modifier None Typical Low $4,073.80 Median $4,897.79 Typical High $4,897.79 | Facility | None | $4,073.80 | $4,897.79 | $4,897.79 |
Univera Setting Professional Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,897.79 | Professional | None | $4,168.69 | $4,168.69 | $4,897.79 |
Univera Setting Professional Modifier RR · Rental Typical Low $416.87 Median $489.78 Typical High $524.81 | Professional | RR · Rental | $416.87 | $489.78 | $524.81 |
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 $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | BP · Chose to purchase | $3,548.13 | $3,548.13 | $3,548.13 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | KH · Purchase or 1st rental month | $524.81 | $524.81 | $524.81 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $6,918.31 Median $6,918.31 Typical High $6,918.31 | Professional | RB · Replacement part | $6,918.31 | $6,918.31 | $6,918.31 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | BP · Chose to purchase | $3,548.13 | $3,548.13 | $3,548.13 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | KH · Purchase or 1st rental month | $524.81 | $524.81 | $524.81 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $6,918.31 Median $6,918.31 Typical High $6,918.31 | Professional | RB · Replacement part | $6,918.31 | $6,918.31 | $6,918.31 |
Where New York sits
The same service costs 11.7 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· 17th of 51
$4,169
KS $8,128MT $692
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.