How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Professional Modifier None Typical Low $100.00 Median $144.54 Typical High $199.53 | Professional | None | $100.00 | $144.54 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $125.89 | Professional | None | $107.15 | $107.15 | $125.89 |
Cigna Setting Professional Modifier RR · Rental Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | RR · Rental | $33.88 | $33.88 | $33.88 |
HMSA Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $104.71 | Professional | None | $37.15 | $37.15 | $104.71 |
HMSA Setting Professional Modifier RR · Rental Typical Low $33.11 Median $89.13 Typical High $93.33 | Professional | RR · Rental | $33.11 | $89.13 | $93.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
United Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $117.49 | Professional | None | $60.26 | $60.26 | $117.49 |
United Setting Professional Modifier RR · Rental Typical Low $30.20 Median $33.88 Typical High $33.88 | Professional | RR · Rental | $30.20 | $33.88 | $33.88 |
University Health Alliance Setting Professional Modifier RR · Rental Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | RR · Rental | $44.67 | $44.67 | $44.67 |
2 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 $81.28 Median $123.03 Typical High $147.91 | Professional | UE · Used equipment | $81.28 | $123.03 | $147.91 |
United Setting Professional Modifier UE · Used equipment Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | UE · Used equipment | $61.66 | $61.66 | $61.66 |
Where Hawaii sits
The same service costs 12.3 times more in Wyoming 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.
Hawaii· 34th of 51
$107
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.