How much rates vary
Facilitymedian $5,248 · 10th to 90th $4,266 to $5,495Professionalmedian $4,467 · 10th to 90th $2,570 to $5,248
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 $2,398.83 Median $4,466.84 Typical High $6,456.54 | Facility | None | $2,398.83 | $4,466.84 | $6,456.54 |
Aetna Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $6,456.54 | Professional | None | $4,466.84 | $4,466.84 | $6,456.54 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $3,311.31 Median $3,311.31 Typical High $4,786.30 | Professional | UE · Used equipment | $3,311.31 | $3,311.31 | $4,786.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,818.38 Median $3,467.37 Typical High $3,467.37 | Professional | None | $2,818.38 | $3,467.37 | $3,467.37 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $346.74 Median $346.74 Typical High $891.25 | Professional | RR · Rental | $346.74 | $346.74 | $891.25 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | UE · Used equipment | $2,630.27 | $2,630.27 | $2,630.27 |
CDPHP Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $8,128.31 | Professional | None | $630.96 | $630.96 | $8,128.31 |
Cigna Setting Facility Modifier None Typical Low $3,162.28 Median $4,265.80 Typical High $5,370.32 | Facility | None | $3,162.28 | $4,265.80 | $5,370.32 |
Cigna Setting Facility Modifier RR · Rental Typical Low $165.96 Median $426.58 Typical High $741.31 | Facility | RR · Rental | $165.96 | $426.58 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $3,630.78 Median $4,265.80 Typical High $4,265.80 | Professional | None | $3,630.78 | $4,265.80 | $4,265.80 |
Cigna Setting Professional Modifier RR · Rental Typical Low $363.08 Median $426.58 Typical High $426.58 | Professional | RR · Rental | $363.08 | $426.58 | $426.58 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $602.56 Median $1,000.00 Typical High $2,187.76 | Facility | RR · Rental | $602.56 | $1,000.00 | $2,187.76 |
Emblem Health Setting Professional Modifier None Typical Low $4,168.69 Median $5,248.07 Typical High $5,248.07 | Professional | None | $4,168.69 | $5,248.07 | $5,248.07 |
Excellus BCBS Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Facility | None | $5,248.07 | $5,248.07 | $5,248.07 |
Excellus BCBS Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $5,248.07 | Professional | None | $4,466.84 | $4,466.84 | $5,248.07 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $446.68 Median $446.68 Typical High $549.54 | Professional | RR · Rental | $446.68 | $446.68 | $549.54 |
MVP Health Care Setting Facility Modifier None Typical Low $11,220.18 Median $11,220.18 Typical High $11,220.18 | Facility | None | $11,220.18 | $11,220.18 | $11,220.18 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $354.81 Median $354.81 Typical High $676.08 | Professional | RR · Rental | $354.81 | $354.81 | $676.08 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $2,754.23 Typical High $3,715.35 | Professional | None | $1,995.26 | $2,754.23 | $3,715.35 |
United Setting Professional Modifier RR · Rental Typical Low $229.09 Median $398.11 Typical High $524.81 | Professional | RR · Rental | $229.09 | $398.11 | $524.81 |
Univera Setting Facility Modifier None Typical Low $4,466.84 Median $5,248.07 Typical High $5,248.07 | Facility | None | $4,466.84 | $5,248.07 | $5,248.07 |
Univera Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $5,248.07 | Professional | None | $4,466.84 | $4,466.84 | $5,248.07 |
Univera Setting Professional Modifier RR · Rental Typical Low $446.68 Median $524.81 Typical High $549.54 | Professional | RR · Rental | $446.68 | $524.81 | $549.54 |
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 $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | BP · Chose to purchase | $3,715.35 | $3,715.35 | $3,715.35 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | KH · Purchase or 1st rental month | $549.54 | $549.54 | $549.54 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $7,244.36 Median $7,244.36 Typical High $7,244.36 | Professional | RB · Replacement part | $7,244.36 | $7,244.36 | $7,244.36 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | BP · Chose to purchase | $3,715.35 | $3,715.35 | $3,715.35 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | KH · Purchase or 1st rental month | $549.54 | $549.54 | $549.54 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $7,244.36 Median $7,244.36 Typical High $7,244.36 | Professional | RB · Replacement part | $7,244.36 | $7,244.36 | $7,244.36 |
Where New York sits
The same service costs 11.0 times more in Kansas than in Illinois. 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
$4,467
KS $8,128IL $741
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.