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 $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $208.93 Typical High $208.93 | Professional | None | $112.20 | $208.93 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $131.83 | Facility | None | $123.03 | $123.03 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $229.09 | Professional | None | $104.71 | $123.03 | $229.09 |
Moda Health Setting Facility Modifier None Typical Low $21.38 Median $117.49 Typical High $194.98 | Facility | None | $21.38 | $117.49 | $194.98 |
Moda Health Setting Professional Modifier None Typical Low $102.33 Median $194.98 Typical High $208.93 | Professional | None | $102.33 | $194.98 | $208.93 |
Premera BCBS Setting Facility Modifier None Typical Low $15.14 Median $151.36 Typical High $204.17 | Facility | None | $15.14 | $151.36 | $204.17 |
Premera BCBS Setting Professional Modifier None Typical Low $21.88 Median $33.11 Typical High $194.98 | Professional | None | $21.88 | $33.11 | $194.98 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $18.20 Median $21.88 Typical High $22.91 | Professional | RR · Rental | $18.20 | $21.88 | $22.91 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $114.82 Median $128.82 Typical High $128.82 | Professional | UE · Used equipment | $114.82 | $128.82 | $128.82 |
Providence Setting Facility Modifier None Typical Low $87.10 Median $112.20 Typical High $165.96 | Facility | None | $87.10 | $112.20 | $165.96 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $123.03 Typical High $229.09 | Professional | None | $60.26 | $123.03 | $229.09 |
United Setting Professional Modifier None Typical Low $97.72 Median $245.47 Typical High $371.54 | Professional | None | $97.72 | $245.47 | $371.54 |
1 more rate 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 |
|---|---|---|---|---|---|
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $162.18 Median $194.98 Typical High $204.17 | Professional | NR · New when rented | $162.18 | $194.98 | $204.17 |
Where Alaska sits
The same service costs 14.1 times more in Kansas than in Illinois. 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.
Alaska· 17th of 51
$126
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.