How much rates vary
Facilitymedian $468 · 10th to 90th $48 to $1,349Professionalmedian $427 · 10th to 90th $23 to $513
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 $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $380.19 Typical High $380.19 | Professional | None | $245.47 | $380.19 | $380.19 |
Aetna Setting Professional Modifier RR · Rental Typical Low $93.33 Median $104.71 Typical High $112.20 | Professional | RR · Rental | $93.33 | $104.71 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $467.74 Median $512.86 Typical High $758.58 | Facility | None | $467.74 | $512.86 | $758.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $549.54 | Professional | None | $426.58 | $426.58 | $549.54 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $42.66 Median $42.66 Typical High $54.95 | Professional | RR · Rental | $42.66 | $42.66 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,513.56 Typical High $2,290.87 | Facility | None | $1,348.96 | $1,513.56 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $602.56 Typical High $691.83 | Professional | None | $134.90 | $602.56 | $691.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $26.30 Median $26.30 Typical High $52.48 | Professional | RR · Rental | $26.30 | $26.30 | $52.48 |
DeanCare Setting Facility Modifier None Typical Low $14.45 Median $47.86 Typical High $457.09 | Facility | None | $14.45 | $47.86 | $457.09 |
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 $28.84 Median $57.54 Typical High $457.09 | Facility | None | $28.84 | $57.54 | $457.09 |
Medica Setting Professional Modifier None Typical Low $17.78 Median $22.91 Typical High $51.29 | Professional | None | $17.78 | $22.91 | $51.29 |
Medica Setting Professional Modifier RR · Rental Typical Low $17.78 Median $36.31 Typical High $245.47 | Professional | RR · Rental | $17.78 | $36.31 | $245.47 |
Network Health Setting Professional Modifier RR · Rental Typical Low $36.31 Median $44.67 Typical High $67.61 | Professional | RR · Rental | $36.31 | $44.67 | $67.61 |
Prevea360 Setting Facility Modifier None Typical Low $14.45 Median $47.86 Typical High $457.09 | Facility | None | $14.45 | $47.86 | $457.09 |
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 $48.98 Median $79.43 Typical High $112.20 | Professional | None | $48.98 | $79.43 | $112.20 |
Quartz Setting Facility Modifier RR · Rental Typical Low $30.90 Median $30.90 Typical High $38.02 | Facility | RR · Rental | $30.90 | $30.90 | $38.02 |
Quartz Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Quartz Setting Professional Modifier RR · Rental Typical Low $26.30 Median $26.30 Typical High $30.90 | Professional | RR · Rental | $26.30 | $26.30 | $30.90 |
Security Health Setting Professional Modifier RR · Rental Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | RR · Rental | $46.77 | $46.77 | $46.77 |
Security Health Setting Professional Modifier RR · Rental Typical Low $46.77 Median $46.77 Typical High $60.26 | Professional | RR · Rental | $46.77 | $46.77 | $60.26 |
United Setting Professional Modifier None Typical Low $15.49 Median $22.91 Typical High $51.29 | Professional | None | $15.49 | $22.91 | $51.29 |
United Setting Professional Modifier RR · Rental Typical Low $17.38 Median $22.91 Typical High $38.90 | Professional | RR · Rental | $17.38 | $22.91 | $38.90 |
8 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 $199.53 Median $288.40 Typical High $288.40 | Professional | UE · Used equipment | $199.53 | $288.40 | $288.40 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $208.93 Median $208.93 Typical High $229.09 | Professional | UE · Used equipment | $208.93 | $208.93 | $229.09 |
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 29.5 times more in Wyoming than in Oklahoma. 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· 3rd of 51
$427
WY $676OK $22.91
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.