How much rates vary
Facilitymedian $219 · 10th to 90th $29 to $617Professionalmedian $166 · 10th to 90th $18 to $240
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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $181.97 Typical High $181.97 | Professional | None | $95.50 | $181.97 | $181.97 |
Aetna Setting Professional Modifier RR · Rental Typical Low $85.11 Median $95.50 Typical High $102.33 | Professional | RR · Rental | $85.11 | $95.50 | $102.33 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $109.65 Median $138.04 Typical High $138.04 | Professional | UE · Used equipment | $109.65 | $138.04 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $218.78 Median $245.47 Typical High $363.08 | Facility | None | $218.78 | $245.47 | $363.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $263.03 | Professional | None | $204.17 | $204.17 | $263.03 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $20.42 Median $20.42 Typical High $26.30 | Professional | RR · Rental | $20.42 | $20.42 | $26.30 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $123.03 Median $123.03 Typical High $134.90 | Professional | UE · Used equipment | $123.03 | $123.03 | $134.90 |
CareSource Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $33.11 | Professional | None | $21.38 | $21.38 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $616.60 Typical High $933.25 | Facility | None | $14.79 | $616.60 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $275.42 | Professional | None | $107.15 | $125.89 | $275.42 |
Cigna Setting Professional Modifier RR · Rental Typical Low $12.59 Median $12.59 Typical High $25.12 | Professional | RR · Rental | $12.59 | $12.59 | $25.12 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | UE · Used equipment | $93.33 | $93.33 | $93.33 |
DeanCare Setting Facility Modifier None Typical Low $14.45 Median $47.86 Typical High $239.88 | Facility | None | $14.45 | $47.86 | $239.88 |
DeanCare Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Medica Setting Facility Modifier None Typical Low $33.88 Median $79.43 Typical High $758.58 | Facility | None | $33.88 | $79.43 | $758.58 |
Medica Setting Professional Modifier None Typical Low $12.02 Median $17.78 Typical High $51.29 | Professional | None | $12.02 | $17.78 | $51.29 |
Medica Setting Professional Modifier RR · Rental Typical Low $12.02 Median $28.84 Typical High $134.90 | Professional | RR · Rental | $12.02 | $28.84 | $134.90 |
Network Health Setting Professional Modifier RR · Rental Typical Low $20.42 Median $23.44 Typical High $38.02 | Professional | RR · Rental | $20.42 | $23.44 | $38.02 |
Prevea360 Setting Facility Modifier None Typical Low $14.45 Median $47.86 Typical High $239.88 | Facility | None | $14.45 | $47.86 | $239.88 |
Prevea360 Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Quartz Setting Professional Modifier None Typical Low $22.39 Median $36.31 Typical High $57.54 | Professional | None | $22.39 | $36.31 | $57.54 |
Quartz Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $147.91 | Facility | None | $14.79 | $14.79 | $147.91 |
Quartz Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $125.89 | Professional | None | $107.15 | $125.89 | $125.89 |
Quartz Setting Professional Modifier RR · Rental Typical Low $12.59 Median $12.59 Typical High $14.79 | Professional | RR · Rental | $12.59 | $12.59 | $14.79 |
Quartz Setting Professional Modifier UE · Used equipment Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | UE · Used equipment | $93.33 | $93.33 | $93.33 |
Security Health Setting Professional Modifier RR · Rental Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | RR · Rental | $21.88 | $21.88 | $21.88 |
Security Health Setting Professional Modifier RR · Rental Typical Low $21.88 Median $21.88 Typical High $28.84 | Professional | RR · Rental | $21.88 | $21.88 | $28.84 |
United Setting Professional Modifier None Typical Low $9.77 Median $16.22 Typical High $81.28 | Professional | None | $9.77 | $16.22 | $81.28 |
United Setting Professional Modifier RR · Rental Typical Low $7.94 Median $16.22 Typical High $51.29 | Professional | RR · Rental | $7.94 | $16.22 | $51.29 |
United Setting Professional Modifier UE · Used equipment Typical Low $61.66 Median $61.66 Typical High $147.91 | Professional | UE · Used equipment | $61.66 | $61.66 | $147.91 |
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 $45.71 Median $45.71 Typical High $89.13 | Professional | QB · Oxygen over 4 L/min + portable | $45.71 | $45.71 | $89.13 |
Network Health Setting Professional Modifier QF · Oxygen over 4 L/min at rest + portable Typical Low $45.71 Median $45.71 Typical High $89.13 | Professional | QF · Oxygen over 4 L/min at rest + portable | $45.71 | $45.71 | $89.13 |
Security Health Setting Professional Modifier QB · Oxygen over 4 L/min + portable Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | QB · Oxygen over 4 L/min + portable | $50.12 | $50.12 | $50.12 |
Security Health Setting Professional Modifier QF · Oxygen over 4 L/min at rest + portable Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | QF · Oxygen over 4 L/min at rest + portable | $50.12 | $50.12 | $50.12 |
Security Health Setting Professional Modifier QB · Oxygen over 4 L/min + portable Typical Low $50.12 Median $50.12 Typical High $64.57 | Professional | QB · Oxygen over 4 L/min + portable | $50.12 | $50.12 | $64.57 |
Security Health Setting Professional Modifier QF · Oxygen over 4 L/min at rest + portable Typical Low $50.12 Median $50.12 Typical High $64.57 | Professional | QF · Oxygen over 4 L/min at rest + portable | $50.12 | $50.12 | $64.57 |
Where Wisconsin 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.
Wisconsin· 5th of 51
$166
WY $302IL $24.55
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.