How much rates vary
Facilitymedian $6,761 · 10th to 90th $5,754 to $7,413Professionalmedian $6,761 · 10th to 90th $4,365 to $11,749
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 $3,090.30 Median $7,079.46 Typical High $11,748.98 | Facility | None | $3,090.30 | $7,079.46 | $11,748.98 |
Aetna Setting Professional Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $11,748.98 | Professional | None | $7,079.46 | $7,079.46 | $11,748.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $6,606.93 Median $8,912.51 Typical High $8,912.51 | Professional | None | $6,606.93 | $8,912.51 | $8,912.51 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $891.25 Median $891.25 Typical High $1,584.89 | Professional | RR · Rental | $891.25 | $891.25 | $1,584.89 |
CDPHP Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $13,182.57 | Professional | None | $1,000.00 | $1,000.00 | $13,182.57 |
Cigna Setting Facility Modifier None Typical Low $4,073.80 Median $7,413.10 Typical High $7,413.10 | Facility | None | $4,073.80 | $7,413.10 | $7,413.10 |
Cigna Setting Facility Modifier RR · Rental Typical Low $338.84 Median $741.31 Typical High $1,513.56 | Facility | RR · Rental | $338.84 | $741.31 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $6,309.57 Median $7,413.10 Typical High $7,413.10 | Professional | None | $6,309.57 | $7,413.10 | $7,413.10 |
Cigna Setting Professional Modifier RR · Rental Typical Low $630.96 Median $741.31 Typical High $741.31 | Professional | RR · Rental | $630.96 | $741.31 | $741.31 |
Emblem Health Setting Facility Modifier RR · Rental Typical Low $1,230.27 Median $2,041.74 Typical High $4,466.84 | Facility | RR · Rental | $1,230.27 | $2,041.74 | $4,466.84 |
Emblem Health Setting Professional Modifier None Typical Low $5,370.32 Median $6,760.83 Typical High $6,760.83 | Professional | None | $5,370.32 | $6,760.83 | $6,760.83 |
Excellus BCBS Setting Facility Modifier None Typical Low $6,760.83 Median $6,760.83 Typical High $6,760.83 | Facility | None | $6,760.83 | $6,760.83 | $6,760.83 |
Excellus BCBS Setting Professional Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $12,022.64 | Professional | None | $5,754.40 | $5,754.40 | $12,022.64 |
Excellus BCBS Setting Professional Modifier RR · Rental Typical Low $575.44 Median $575.44 Typical High $1,000.00 | Professional | RR · Rental | $575.44 | $575.44 | $1,000.00 |
MVP Health Care Setting Facility Modifier None Typical Low $14,454.40 Median $14,454.40 Typical High $14,454.40 | Facility | None | $14,454.40 | $14,454.40 | $14,454.40 |
MVP Health Care Setting Professional Modifier RR · Rental Typical Low $741.31 Median $741.31 Typical High $1,380.38 | Professional | RR · Rental | $741.31 | $741.31 | $1,380.38 |
United Setting Professional Modifier None Typical Low $2,630.27 Median $4,365.16 Typical High $6,165.95 | Professional | None | $2,630.27 | $4,365.16 | $6,165.95 |
United Setting Professional Modifier RR · Rental Typical Low $398.11 Median $630.96 Typical High $912.01 | Professional | RR · Rental | $398.11 | $630.96 | $912.01 |
Univera Setting Facility Modifier None Typical Low $5,754.40 Median $6,760.83 Typical High $6,760.83 | Facility | None | $5,754.40 | $6,760.83 | $6,760.83 |
Univera Setting Professional Modifier None Typical Low $5,754.40 Median $6,760.83 Typical High $12,022.64 | Professional | None | $5,754.40 | $6,760.83 | $12,022.64 |
Univera Setting Professional Modifier RR · Rental Typical Low $575.44 Median $676.08 Typical High $1,000.00 | Professional | RR · Rental | $575.44 | $676.08 | $1,000.00 |
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 $5,370.32 Median $5,370.32 Typical High $8,709.64 | Professional | UE · Used equipment | $5,370.32 | $5,370.32 | $8,709.64 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $6,760.83 Median $6,760.83 Typical High $6,760.83 | Professional | UE · Used equipment | $6,760.83 | $6,760.83 | $6,760.83 |
Excellus BCBS Setting Professional Modifier BP · Chose to purchase Typical Low $6,760.83 Median $6,760.83 Typical High $6,760.83 | Professional | BP · Chose to purchase | $6,760.83 | $6,760.83 | $6,760.83 |
Excellus BCBS Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | KH · Purchase or 1st rental month | $1,000.00 | $1,000.00 | $1,000.00 |
Excellus BCBS Setting Professional Modifier RB · Replacement part Typical Low $13,182.57 Median $13,182.57 Typical High $13,182.57 | Professional | RB · Replacement part | $13,182.57 | $13,182.57 | $13,182.57 |
Univera Setting Professional Modifier BP · Chose to purchase Typical Low $6,760.83 Median $6,760.83 Typical High $6,760.83 | Professional | BP · Chose to purchase | $6,760.83 | $6,760.83 | $6,760.83 |
Univera Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | KH · Purchase or 1st rental month | $1,000.00 | $1,000.00 | $1,000.00 |
Univera Setting Professional Modifier RB · Replacement part Typical Low $13,182.57 Median $13,182.57 Typical High $13,182.57 | Professional | RB · Replacement part | $13,182.57 | $13,182.57 | $13,182.57 |
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· 28th of 51
$6,761
ND $13,804MS $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.