How much rates vary
Facilitymedian $5,888 · 10th to 90th $5,012 to $6,607Professionalmedian $5,248 · 10th to 90th $3,802 to $10,233
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 $2,691.53 Median $6,309.57 Typical High $10,232.93 | Facility | None | $2,691.53 | $6,309.57 | $10,232.93 |
Aetna Setting Professional Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $10,232.93 | Professional | None | $6,309.57 | $6,309.57 | $10,232.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $5,011.87 Median $5,248.07 Typical High $5,248.07 | Professional | None | $5,011.87 | $5,248.07 | $5,248.07 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $524.81 Median $524.81 Typical High $1,412.54 | Professional | RR · Rental | $524.81 | $524.81 | $1,412.54 |
CDPHP Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $11,481.54 | Professional | None | $891.25 | $891.25 | $11,481.54 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $6,606.93 Typical High $6,606.93 | Facility | None | $3,548.13 | $6,606.93 | $6,606.93 |
Cigna Setting Facility Modifier RR · Rental Typical Low $295.12 Median $660.69 Typical High $1,318.26 | Facility | RR · Rental | $295.12 | $660.69 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $5,495.41 Median $6,606.93 Typical High $6,606.93 | Professional | None | $5,495.41 | $6,606.93 | $6,606.93 |
Cigna Setting Professional Modifier RR · Rental Typical Low $549.54 Median $660.69 Typical High $660.69 | Professional | RR · Rental | $549.54 | $660.69 | $660.69 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $1,096.48 Median $1,778.28 Typical High $3,890.45 | Facility | RR · Rental | $1,096.48 | $1,778.28 | $3,890.45 |
Emblem Health Setting Professional Modifier None Typical Low $4,786.30 Median $5,888.44 Typical High $5,888.44 | Professional | None | $4,786.30 | $5,888.44 | $5,888.44 |
Excellus BCBS Setting Facility Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Facility | None | $5,888.44 | $5,888.44 | $5,888.44 |
Excellus BCBS Setting Professional Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $10,715.19 | Professional | None | $5,128.61 | $5,128.61 | $10,715.19 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $512.86 Median $512.86 Typical High $891.25 | Professional | RR · Rental | $512.86 | $512.86 | $891.25 |
MVP Health Care Setting Facility Modifier None Typical Low $12,882.50 Median $12,882.50 Typical High $12,882.50 | Facility | None | $12,882.50 | $12,882.50 | $12,882.50 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $660.69 Median $660.69 Typical High $1,230.27 | Professional | RR · Rental | $660.69 | $660.69 | $1,230.27 |
United Setting Professional Modifier None Typical Low $2,344.23 Median $3,801.89 Typical High $5,370.32 | Professional | None | $2,344.23 | $3,801.89 | $5,370.32 |
United Setting Professional Modifier RR · Rental Typical Low $346.74 Median $549.54 Typical High $794.33 | Professional | RR · Rental | $346.74 | $549.54 | $794.33 |
Univera Setting Facility Modifier None Typical Low $5,011.87 Median $5,888.44 Typical High $5,888.44 | Facility | None | $5,011.87 | $5,888.44 | $5,888.44 |
Univera Setting Professional Modifier None Typical Low $5,128.61 Median $5,888.44 Typical High $10,715.19 | Professional | None | $5,128.61 | $5,888.44 | $10,715.19 |
Univera Setting Professional Modifier RR · Rental Typical Low $512.86 Median $588.84 Typical High $891.25 | Professional | RR · Rental | $512.86 | $588.84 | $891.25 |
8 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier UE · Used equipment Typical Low $4,677.35 Median $4,677.35 Typical High $7,762.47 | Professional | UE · Used equipment | $4,677.35 | $4,677.35 | $7,762.47 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | UE · Used equipment | $3,890.45 | $3,890.45 | $3,890.45 |
Excellus BCBS Setting Professional Modifier BP · Chose to purchase Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Professional | BP · Chose to purchase | $5,888.44 | $5,888.44 | $5,888.44 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | KH · Purchase or 1st rental month | $891.25 | $891.25 | $891.25 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $11,481.54 Median $11,481.54 Typical High $11,481.54 | Professional | RB · Replacement part | $11,481.54 | $11,481.54 | $11,481.54 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Professional | BP · Chose to purchase | $5,888.44 | $5,888.44 | $5,888.44 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | KH · Purchase or 1st rental month | $891.25 | $891.25 | $891.25 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $11,481.54 Median $11,481.54 Typical High $11,481.54 | Professional | RB · Replacement part | $11,481.54 | $11,481.54 | $11,481.54 |
Where New York sits
The same service costs 11.0 times more in North Dakota than in Mississippi. 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· 32nd of 51
$5,248
ND $12,303MS $1,122
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.