How much rates vary
Facilitymedian $6,310 · 10th to 90th $5,370 to $6,607Professionalmedian $5,495 · 10th to 90th $3,236 to $6,310
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 $2,884.03 Median $5,495.41 Typical High $8,128.31 | Facility | None | $2,884.03 | $5,495.41 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $8,128.31 | Professional | None | $5,495.41 | $5,495.41 | $8,128.31 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $4,073.80 Median $4,073.80 Typical High $6,025.60 | Professional | UE · Used equipment | $4,073.80 | $4,073.80 | $6,025.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,548.13 Median $4,365.16 Typical High $4,365.16 | Professional | None | $3,548.13 | $4,365.16 | $4,365.16 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $436.52 Median $436.52 Typical High $1,096.48 | Professional | RR · Rental | $436.52 | $436.52 | $1,096.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | UE · Used equipment | $3,311.31 | $3,311.31 | $3,311.31 |
CDPHP Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $10,000.00 | Professional | None | $776.25 | $776.25 | $10,000.00 |
Cigna Setting Facility Modifier None Typical Low $3,801.89 Median $5,495.41 Typical High $6,456.54 | Facility | None | $3,801.89 | $5,495.41 | $6,456.54 |
Cigna Setting Facility Modifier RR · Rental Typical Low $208.93 Median $549.54 Typical High $954.99 | Facility | RR · Rental | $208.93 | $549.54 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $4,677.35 Median $5,495.41 Typical High $5,495.41 | Professional | None | $4,677.35 | $5,495.41 | $5,495.41 |
Cigna Setting Professional Modifier RR · Rental Typical Low $467.74 Median $549.54 Typical High $549.54 | Professional | RR · Rental | $467.74 | $549.54 | $549.54 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $758.58 Median $1,258.93 Typical High $2,754.23 | Facility | RR · Rental | $758.58 | $1,258.93 | $2,754.23 |
Emblem Health Setting Professional Modifier None Typical Low $5,011.87 Median $6,309.57 Typical High $6,309.57 | Professional | None | $5,011.87 | $6,309.57 | $6,309.57 |
Excellus BCBS Setting Facility Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $6,309.57 | Facility | None | $6,309.57 | $6,309.57 | $6,309.57 |
Excellus BCBS Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $6,309.57 | Professional | None | $5,495.41 | $5,495.41 | $6,309.57 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $549.54 Median $549.54 Typical High $691.83 | Professional | RR · Rental | $549.54 | $549.54 | $691.83 |
MVP Health Care Setting Facility Modifier None Typical Low $13,489.63 Median $13,489.63 Typical High $13,489.63 | Facility | None | $13,489.63 | $13,489.63 | $13,489.63 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $446.68 Median $446.68 Typical High $851.14 | Professional | RR · Rental | $446.68 | $446.68 | $851.14 |
United Setting Professional Modifier None Typical Low $2,398.83 Median $3,388.44 Typical High $4,570.88 | Professional | None | $2,398.83 | $3,388.44 | $4,570.88 |
United Setting Professional Modifier RR · Rental Typical Low $288.40 Median $501.19 Typical High $660.69 | Professional | RR · Rental | $288.40 | $501.19 | $660.69 |
Univera Setting Facility Modifier None Typical Low $5,370.32 Median $6,309.57 Typical High $6,309.57 | Facility | None | $5,370.32 | $6,309.57 | $6,309.57 |
Univera Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $6,309.57 | Professional | None | $5,495.41 | $5,495.41 | $6,309.57 |
Univera Setting Professional Modifier RR · Rental Typical Low $549.54 Median $630.96 Typical High $691.83 | Professional | RR · Rental | $549.54 | $630.96 | $691.83 |
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 $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | BP · Chose to purchase | $4,677.35 | $4,677.35 | $4,677.35 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | KH · Purchase or 1st rental month | $691.83 | $691.83 | $691.83 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Professional | RB · Replacement part | $9,120.11 | $9,120.11 | $9,120.11 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | BP · Chose to purchase | $4,677.35 | $4,677.35 | $4,677.35 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | KH · Purchase or 1st rental month | $691.83 | $691.83 | $691.83 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Professional | RB · Replacement part | $9,120.11 | $9,120.11 | $9,120.11 |
Where New York sits
The same service costs 11.5 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· 16th of 51
$5,495
KS $10,471MT $912
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.