How much rates vary
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 $141.25 Median $151.36 Typical High $151.36 | Facility | None | $141.25 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $141.25 Typical High $169.82 | Professional | None | $134.90 | $141.25 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $223.87 Typical High $933.25 | Facility | None | $177.83 | $223.87 | $933.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $263.03 Median $371.54 Typical High $398.11 | Professional | None | $263.03 | $371.54 | $398.11 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | RR · Rental | $239.88 | $239.88 | $239.88 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | UE · Used equipment | $181.97 | $181.97 | $181.97 |
Blue Shield Setting Facility Modifier None Typical Low $190.55 Median $616.60 Typical High $776.25 | Facility | None | $190.55 | $616.60 | $776.25 |
Blue Shield Setting Professional Modifier None Typical Low $100.00 Median $295.12 Typical High $380.19 | Professional | None | $100.00 | $295.12 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $346.74 Typical High $630.96 | Professional | None | $128.82 | $346.74 | $630.96 |
Lucent Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,398.83 | Professional | None | $1,445.44 | $1,445.44 | $2,398.83 |
Providence Setting Facility Modifier None Typical Low $141.25 Median $245.47 Typical High $398.11 | Facility | None | $141.25 | $245.47 | $398.11 |
Providence Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
United Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $338.84 | Professional | None | $144.54 | $144.54 | $338.84 |
3 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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier KF · Class III device Typical Low $269.15 Median $363.08 Typical High $407.38 | Professional | KF · Class III device | $269.15 | $363.08 | $407.38 |
Kaiser Permanente Setting Professional Modifier KF · Class III device Typical Low $251.19 Median $323.59 Typical High $741.31 | Professional | KF · Class III device | $251.19 | $323.59 | $741.31 |
Providence Setting Professional Modifier KF · Class III device Typical Low $263.03 Median $288.40 Typical High $478.63 | Professional | KF · Class III device | $263.03 | $288.40 | $478.63 |
Where California sits
The same service costs 2.1 times more in Montana than in Hawaii. 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.
California· 39th of 51
$162
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.