How much rates vary
Facilitymedian $7,079 · 10th to 90th $5,012 to $7,413Professionalmedian $6,310 · 10th to 90th $4,365 to $12,303
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 $3,235.94 Median $7,413.10 Typical High $12,302.69 | Facility | None | $3,235.94 | $7,413.10 | $12,302.69 |
Aetna Setting Professional Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $12,302.69 | Professional | None | $7,413.10 | $7,413.10 | $12,302.69 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $5,623.41 Median $5,623.41 Typical High $9,120.11 | Professional | UE · Used equipment | $5,623.41 | $5,623.41 | $9,120.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $6,025.60 Median $6,309.57 Typical High $6,309.57 | Professional | None | $6,025.60 | $6,309.57 | $6,309.57 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $630.96 Median $630.96 Typical High $1,659.59 | Professional | RR · Rental | $630.96 | $630.96 | $1,659.59 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | UE · Used equipment | $4,677.35 | $4,677.35 | $4,677.35 |
CDPHP Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $13,803.84 | Professional | None | $1,047.13 | $1,047.13 | $13,803.84 |
Cigna Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $6,760.83 | Facility | None | $5,011.87 | $5,011.87 | $6,760.83 |
Cigna Setting Professional Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $5,011.87 | Professional | None | $4,265.80 | $5,011.87 | $5,011.87 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $1,288.25 Median $2,137.96 Typical High $4,677.35 | Facility | RR · Rental | $1,288.25 | $2,137.96 | $4,677.35 |
Emblem Health Setting Professional Modifier None Typical Low $5,623.41 Median $7,079.46 Typical High $7,079.46 | Professional | None | $5,623.41 | $7,079.46 | $7,079.46 |
Excellus BCBS Setting Facility Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Facility | None | $7,079.46 | $7,079.46 | $7,079.46 |
Excellus BCBS Setting Professional Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $12,589.25 | Professional | None | $6,165.95 | $6,165.95 | $12,589.25 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $616.60 Median $616.60 Typical High $1,047.13 | Professional | RR · Rental | $616.60 | $616.60 | $1,047.13 |
MVP Health Care Setting Facility Modifier None Typical Low $15,135.61 Median $15,135.61 Typical High $15,135.61 | Facility | None | $15,135.61 | $15,135.61 | $15,135.61 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $794.33 Median $794.33 Typical High $1,445.44 | Professional | RR · Rental | $794.33 | $794.33 | $1,445.44 |
United Setting Professional Modifier None Typical Low $2,754.23 Median $4,570.88 Typical High $6,456.54 | Professional | None | $2,754.23 | $4,570.88 | $6,456.54 |
United Setting Professional Modifier RR · Rental Typical Low $416.87 Median $660.69 Typical High $954.99 | Professional | RR · Rental | $416.87 | $660.69 | $954.99 |
Univera Setting Facility Modifier None Typical Low $6,025.60 Median $7,079.46 Typical High $7,079.46 | Facility | None | $6,025.60 | $7,079.46 | $7,079.46 |
Univera Setting Professional Modifier None Typical Low $6,165.95 Median $7,079.46 Typical High $12,589.25 | Professional | None | $6,165.95 | $7,079.46 | $12,589.25 |
Univera Setting Professional Modifier RR · Rental Typical Low $616.60 Median $707.95 Typical High $1,047.13 | Professional | RR · Rental | $616.60 | $707.95 | $1,047.13 |
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 $7,079.46 Median $7,079.46 Typical High $7,079.46 | Professional | BP · Chose to purchase | $7,079.46 | $7,079.46 | $7,079.46 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | KH · Purchase or 1st rental month | $1,047.13 | $1,047.13 | $1,047.13 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $13,803.84 Median $13,803.84 Typical High $13,803.84 | Professional | RB · Replacement part | $13,803.84 | $13,803.84 | $13,803.84 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Professional | BP · Chose to purchase | $7,079.46 | $7,079.46 | $7,079.46 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | KH · Purchase or 1st rental month | $1,047.13 | $1,047.13 | $1,047.13 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $13,803.84 Median $13,803.84 Typical High $13,803.84 | Professional | RB · Replacement part | $13,803.84 | $13,803.84 | $13,803.84 |
Where New York sits
The same service costs 11.2 times more in North Dakota 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· 22nd of 51
$6,310
ND $14,454MT $1,288
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.