How much rates vary
Facilitymedian $1,000 · 10th to 90th $98 to $9,772Professionalmedian $813 · 10th to 90th $63 to $1,122
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 $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $812.83 Typical High $812.83 | Professional | None | $660.69 | $812.83 | $812.83 |
Aetna Setting Professional Modifier RR · Rental Typical Low $537.03 Median $588.84 Typical High $645.65 | Professional | RR · Rental | $537.03 | $588.84 | $645.65 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $562.34 Median $616.60 Typical High $616.60 | Professional | UE · Used equipment | $562.34 | $616.60 | $616.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,096.48 Typical High $1,621.81 | Facility | None | $1,000.00 | $1,096.48 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,174.90 | Professional | None | $933.25 | $933.25 | $1,174.90 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $93.33 Median $93.33 Typical High $117.49 | Professional | RR · Rental | $93.33 | $93.33 | $117.49 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $416.87 Median $416.87 Typical High $524.81 | Professional | UE · Used equipment | $416.87 | $416.87 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $9,772.37 Median $11,220.18 Typical High $16,595.87 | Facility | None | $9,772.37 | $11,220.18 | $16,595.87 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $5,128.61 | Professional | None | $776.25 | $776.25 | $5,128.61 |
Cigna Setting Professional Modifier RR · Rental Typical Low $57.54 Median $57.54 Typical High $114.82 | Professional | RR · Rental | $57.54 | $57.54 | $114.82 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | UE · Used equipment | $588.84 | $588.84 | $588.84 |
DeanCare Setting Facility Modifier None Typical Low $89.13 Median $112.20 Typical High $1,230.27 | Facility | None | $89.13 | $112.20 | $1,230.27 |
DeanCare Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $199.53 Typical High $3,388.44 | Facility | None | $89.13 | $199.53 | $3,388.44 |
Medica Setting Professional Modifier None Typical Low $60.26 Median $93.33 Typical High $199.53 | Professional | None | $60.26 | $93.33 | $199.53 |
Medica Setting Professional Modifier RR · Rental Typical Low $63.10 Median $141.25 Typical High $758.58 | Professional | RR · Rental | $63.10 | $141.25 | $758.58 |
Network Health Setting Professional Modifier RR · Rental Typical Low $91.20 Median $123.03 Typical High $169.82 | Professional | RR · Rental | $91.20 | $123.03 | $169.82 |
Prevea360 Setting Facility Modifier None Typical Low $89.13 Median $112.20 Typical High $1,230.27 | Facility | None | $89.13 | $112.20 | $1,230.27 |
Prevea360 Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Quartz Setting Professional Modifier None Typical Low $100.00 Median $162.18 Typical High $288.40 | Professional | None | $100.00 | $162.18 | $288.40 |
Quartz Setting Facility Modifier RR · Rental Typical Low $67.61 Median $67.61 Typical High $93.33 | Facility | RR · Rental | $67.61 | $67.61 | $93.33 |
Quartz Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Quartz Setting Professional Modifier RR · Rental Typical Low $57.54 Median $57.54 Typical High $67.61 | Professional | RR · Rental | $57.54 | $57.54 | $67.61 |
Quartz Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | UE · Used equipment | $588.84 | $588.84 | $588.84 |
Security Health Setting Professional Modifier RR · Rental Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | RR · Rental | $100.00 | $100.00 | $100.00 |
Security Health Setting Professional Modifier RR · Rental Typical Low $100.00 Median $100.00 Typical High $128.82 | Professional | RR · Rental | $100.00 | $100.00 | $128.82 |
United Setting Professional Modifier None Typical Low $60.26 Median $63.10 Typical High $363.08 | Professional | None | $60.26 | $63.10 | $363.08 |
United Setting Professional Modifier RR · Rental Typical Low $35.48 Median $107.15 Typical High $177.83 | Professional | RR · Rental | $35.48 | $107.15 | $177.83 |
United Setting Professional Modifier UE · Used equipment Typical Low $275.42 Median $275.42 Typical High $645.65 | Professional | UE · Used equipment | $275.42 | $275.42 | $645.65 |
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 |
|---|---|---|---|---|---|
Network Health Setting Professional Modifier QB · Oxygen over 4 L/min + portable Typical Low $91.20 Median $91.20 Typical High $177.83 | Professional | QB · Oxygen over 4 L/min + portable | $91.20 | $91.20 | $177.83 |
Network Health Setting Professional Modifier QF · Oxygen over 4 L/min at rest + portable Typical Low $91.20 Median $91.20 Typical High $177.83 | Professional | QF · Oxygen over 4 L/min at rest + portable | $91.20 | $91.20 | $177.83 |
Security Health Setting Professional Modifier QB · Oxygen over 4 L/min + portable Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | QB · Oxygen over 4 L/min + portable | $100.00 | $100.00 | $100.00 |
Security Health Setting Professional Modifier QF · Oxygen over 4 L/min at rest + portable Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | QF · Oxygen over 4 L/min at rest + portable | $100.00 | $100.00 | $100.00 |
Security Health Setting Professional Modifier QB · Oxygen over 4 L/min + portable Typical Low $100.00 Median $100.00 Typical High $128.82 | Professional | QB · Oxygen over 4 L/min + portable | $100.00 | $100.00 | $128.82 |
Security Health Setting Professional Modifier QF · Oxygen over 4 L/min at rest + portable Typical Low $100.00 Median $100.00 Typical High $128.82 | Professional | QF · Oxygen over 4 L/min at rest + portable | $100.00 | $100.00 | $128.82 |
Where Wisconsin sits
The same service costs 13.2 times more in Wyoming 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.
Wisconsin· 8th of 51
$813
WY $1,349MT $102
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.