How much rates vary
Facilitymedian $4,365 · 10th to 90th $3,631 to $4,571Professionalmedian $3,715 · 10th to 90th $2,188 to $4,365
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 $1,995.26 Median $3,715.35 Typical High $5,370.32 | Facility | None | $1,995.26 | $3,715.35 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $5,370.32 | Professional | None | $3,715.35 | $3,715.35 | $5,370.32 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $2,754.23 Median $2,754.23 Typical High $4,073.80 | Professional | UE · Used equipment | $2,754.23 | $2,754.23 | $4,073.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,398.83 Median $2,951.21 Typical High $2,951.21 | Professional | None | $2,398.83 | $2,951.21 | $2,951.21 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $295.12 Median $295.12 Typical High $741.31 | Professional | RR · Rental | $295.12 | $295.12 | $741.31 |
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 $524.81 Median $524.81 Typical High $6,918.31 | Professional | None | $524.81 | $524.81 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $2,630.27 Median $3,630.78 Typical High $4,466.84 | Facility | None | $2,630.27 | $3,630.78 | $4,466.84 |
Cigna Setting Facility Modifier RR · Rental Typical Low $141.25 Median $363.08 Typical High $630.96 | Facility | RR · Rental | $141.25 | $363.08 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $3,090.30 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,090.30 | $3,630.78 | $3,630.78 |
Cigna Setting Professional Modifier RR · Rental Typical Low $309.03 Median $363.08 Typical High $363.08 | Professional | RR · Rental | $309.03 | $363.08 | $363.08 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $512.86 Median $851.14 Typical High $1,862.09 | Facility | RR · Rental | $512.86 | $851.14 | $1,862.09 |
Emblem Health Setting Professional Modifier None Typical Low $3,467.37 Median $4,365.16 Typical High $4,365.16 | Professional | None | $3,467.37 | $4,365.16 | $4,365.16 |
Excellus BCBS Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Facility | None | $4,365.16 | $4,365.16 | $4,365.16 |
Excellus BCBS Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $4,365.16 | Professional | None | $3,715.35 | $3,715.35 | $4,365.16 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $371.54 Median $371.54 Typical High $467.74 | Professional | RR · Rental | $371.54 | $371.54 | $467.74 |
MVP Health Care Setting Facility Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $9,332.54 | Facility | None | $9,332.54 | $9,332.54 | $9,332.54 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $302.00 Median $302.00 Typical High $575.44 | Professional | RR · Rental | $302.00 | $302.00 | $575.44 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $2,344.23 Typical High $3,090.30 | Professional | None | $1,659.59 | $2,344.23 | $3,090.30 |
United Setting Professional Modifier RR · Rental Typical Low $194.98 Median $331.13 Typical High $446.68 | Professional | RR · Rental | $194.98 | $331.13 | $446.68 |
Univera Setting Facility Modifier None Typical Low $3,715.35 Median $4,365.16 Typical High $4,365.16 | Facility | None | $3,715.35 | $4,365.16 | $4,365.16 |
Univera Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $4,365.16 | Professional | None | $3,715.35 | $3,715.35 | $4,365.16 |
Univera Setting Professional Modifier RR · Rental Typical Low $371.54 Median $436.52 Typical High $467.74 | Professional | RR · Rental | $371.54 | $436.52 | $467.74 |
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 $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | BP · Chose to purchase | $3,090.30 | $3,090.30 | $3,090.30 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | KH · Purchase or 1st rental month | $467.74 | $467.74 | $467.74 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $6,025.60 Median $6,025.60 Typical High $6,025.60 | Professional | RB · Replacement part | $6,025.60 | $6,025.60 | $6,025.60 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | BP · Chose to purchase | $3,090.30 | $3,090.30 | $3,090.30 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | KH · Purchase or 1st rental month | $467.74 | $467.74 | $467.74 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $6,025.60 Median $6,025.60 Typical High $6,025.60 | Professional | RB · Replacement part | $6,025.60 | $6,025.60 | $6,025.60 |
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· 15th of 51
$3,715
KS $8,128MT $646
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.