How much rates vary
Facilitymedian $9,120 · 10th to 90th $7,762 to $10,000Professionalmedian $8,128 · 10th to 90th $5,888 to $15,849
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 $4,168.69 Median $9,772.37 Typical High $15,848.93 | Facility | None | $4,168.69 | $9,772.37 | $15,848.93 |
Aetna Setting Professional Modifier None Typical Low $9,772.37 Median $9,772.37 Typical High $15,848.93 | Professional | None | $9,772.37 | $9,772.37 | $15,848.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $7,762.47 Median $8,128.31 Typical High $8,128.31 | Professional | None | $7,762.47 | $8,128.31 | $8,128.31 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $812.83 Median $812.83 Typical High $2,187.76 | Professional | RR · Rental | $812.83 | $812.83 | $2,187.76 |
CDPHP Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $17,782.79 | Professional | None | $1,380.38 | $1,380.38 | $17,782.79 |
Cigna Setting Facility Modifier None Typical Low $5,495.41 Median $10,000.00 Typical High $10,000.00 | Facility | None | $5,495.41 | $10,000.00 | $10,000.00 |
Cigna Setting Facility Modifier RR · Rental Typical Low $457.09 Median $1,000.00 Typical High $2,041.74 | Facility | RR · Rental | $457.09 | $1,000.00 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $8,511.38 Median $10,000.00 Typical High $10,000.00 | Professional | None | $8,511.38 | $10,000.00 | $10,000.00 |
Cigna Setting Professional Modifier RR · Rental Typical Low $851.14 Median $1,000.00 Typical High $1,000.00 | Professional | RR · Rental | $851.14 | $1,000.00 | $1,000.00 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $1,659.59 Median $2,754.23 Typical High $6,025.60 | Facility | RR · Rental | $1,659.59 | $2,754.23 | $6,025.60 |
Emblem Health Setting Professional Modifier None Typical Low $7,413.10 Median $9,120.11 Typical High $9,120.11 | Professional | None | $7,413.10 | $9,120.11 | $9,120.11 |
Excellus BCBS Setting Facility Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Facility | None | $9,120.11 | $9,120.11 | $9,120.11 |
Excellus BCBS Setting Professional Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $16,595.87 | Professional | None | $7,943.28 | $7,943.28 | $16,595.87 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $794.33 Median $794.33 Typical High $1,380.38 | Professional | RR · Rental | $794.33 | $794.33 | $1,380.38 |
MVP Health Care Setting Facility Modifier None Typical Low $19,952.62 Median $19,952.62 Typical High $19,952.62 | Facility | None | $19,952.62 | $19,952.62 | $19,952.62 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $1,023.29 Median $1,023.29 Typical High $1,905.46 | Professional | RR · Rental | $1,023.29 | $1,023.29 | $1,905.46 |
United Setting Professional Modifier None Typical Low $3,548.13 Median $5,888.44 Typical High $8,317.64 | Professional | None | $3,548.13 | $5,888.44 | $8,317.64 |
United Setting Professional Modifier RR · Rental Typical Low $537.03 Median $851.14 Typical High $1,230.27 | Professional | RR · Rental | $537.03 | $851.14 | $1,230.27 |
Univera Setting Facility Modifier None Typical Low $7,762.47 Median $9,120.11 Typical High $9,120.11 | Facility | None | $7,762.47 | $9,120.11 | $9,120.11 |
Univera Setting Professional Modifier None Typical Low $7,943.28 Median $9,120.11 Typical High $16,595.87 | Professional | None | $7,943.28 | $9,120.11 | $16,595.87 |
Univera Setting Professional Modifier RR · Rental Typical Low $794.33 Median $912.01 Typical High $1,380.38 | Professional | RR · Rental | $794.33 | $912.01 | $1,380.38 |
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 $7,244.36 Median $7,244.36 Typical High $11,748.98 | Professional | UE · Used equipment | $7,244.36 | $7,244.36 | $11,748.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $6,025.60 Median $6,025.60 Typical High $6,025.60 | Professional | UE · Used equipment | $6,025.60 | $6,025.60 | $6,025.60 |
Excellus BCBS Setting Professional Modifier BP · Chose to purchase Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Professional | BP · Chose to purchase | $9,120.11 | $9,120.11 | $9,120.11 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | KH · Purchase or 1st rental month | $1,380.38 | $1,380.38 | $1,380.38 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $17,782.79 Median $17,782.79 Typical High $17,782.79 | Professional | RB · Replacement part | $17,782.79 | $17,782.79 | $17,782.79 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Professional | BP · Chose to purchase | $9,120.11 | $9,120.11 | $9,120.11 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | KH · Purchase or 1st rental month | $1,380.38 | $1,380.38 | $1,380.38 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $17,782.79 Median $17,782.79 Typical High $17,782.79 | Professional | RB · Replacement part | $17,782.79 | $17,782.79 | $17,782.79 |
Where New York sits
The same service costs 10.7 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· 40th of 51
$8,128
ND $18,621MS $1,738
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.