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 $275.42 Median $309.03 Typical High $309.03 | Facility | None | $275.42 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $309.03 Typical High $501.19 | Professional | None | $275.42 | $309.03 | $501.19 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $208.93 Median $234.42 Typical High $380.19 | Professional | UE · Used equipment | $208.93 | $234.42 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $60.26 Typical High $251.19 | Facility | None | $46.77 | $60.26 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $501.19 Typical High $1,479.11 | Professional | None | $331.13 | $501.19 | $1,479.11 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $33.11 Median $50.12 Typical High $147.91 | Professional | RR · Rental | $33.11 | $50.12 | $147.91 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $245.47 Median $380.19 Typical High $1,174.90 | Professional | UE · Used equipment | $245.47 | $380.19 | $1,174.90 |
Blue Shield Setting Facility Modifier None Typical Low $72.44 Median $123.03 Typical High $181.97 | Facility | None | $72.44 | $123.03 | $181.97 |
Blue Shield Setting Professional Modifier None Typical Low $660.69 Median $891.25 Typical High $1,230.27 | Professional | None | $660.69 | $891.25 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Facility Modifier RR · Rental Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | RR · Rental | $37.15 | $37.15 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $371.54 | Professional | None | $316.23 | $371.54 | $371.54 |
Cigna Setting Professional Modifier RR · Rental Typical Low $31.62 Median $37.15 Typical High $37.15 | Professional | RR · Rental | $31.62 | $37.15 | $37.15 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | UE · Used equipment | $234.42 | $234.42 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $741.31 Typical High $1,288.25 | Professional | None | $407.38 | $741.31 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $51.29 Median $75.86 Typical High $229.09 | Professional | RR · Rental | $51.29 | $75.86 | $229.09 |
Lucent Health Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $776.25 | Professional | None | $75.86 | $75.86 | $776.25 |
Providence Setting Facility Modifier None Typical Low $72.44 Median $371.54 Typical High $691.83 | Facility | None | $72.44 | $371.54 | $691.83 |
Providence Setting Facility Modifier RR · Rental Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | RR · Rental | $37.15 | $37.15 | $37.15 |
Providence Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $371.54 | Professional | None | $316.23 | $371.54 | $371.54 |
Providence Setting Professional Modifier RR · Rental Typical Low $31.62 Median $37.15 Typical High $37.15 | Professional | RR · Rental | $31.62 | $37.15 | $37.15 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | UE · Used equipment | $234.42 | $234.42 | $234.42 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | RR · Rental | $138.04 | $138.04 | $138.04 |
United Setting Professional Modifier None Typical Low $281.84 Median $338.84 Typical High $1,621.81 | Professional | None | $281.84 | $338.84 | $1,621.81 |
United Setting Professional Modifier RR · Rental Typical Low $36.31 Median $40.74 Typical High $186.21 | Professional | RR · Rental | $36.31 | $40.74 | $186.21 |
United Setting Professional Modifier UE · Used equipment Typical Low $223.87 Median $257.04 Typical High $1,230.27 | Professional | UE · Used equipment | $223.87 | $257.04 | $1,230.27 |
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 |
|---|---|---|---|---|---|
Cigna Setting Facility Modifier MS · Maintenance fee Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | MS · Maintenance fee | $29.51 | $29.51 | $29.51 |
Cigna Setting Professional Modifier MS · Maintenance fee Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | MS · Maintenance fee | $29.51 | $29.51 | $29.51 |
Cigna Setting Professional Modifier NR · New when rented Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | NR · New when rented | $295.12 | $295.12 | $295.12 |
Providence Setting Facility Modifier MS · Maintenance fee Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | MS · Maintenance fee | $29.51 | $29.51 | $29.51 |
Providence Setting Professional Modifier MS · Maintenance fee Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | MS · Maintenance fee | $29.51 | $29.51 | $29.51 |
Providence Setting Professional Modifier NR · New when rented Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | NR · New when rented | $295.12 | $295.12 | $295.12 |
Where California sits
The same service costs 4.2 times more in North Dakota than in Rhode Island. 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· 21st of 51
$490
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.