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 $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $489.78 | Professional | None | $446.68 | $446.68 | $489.78 |
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | MS · Maintenance fee | $44.67 | $44.67 | $44.67 |
Aetna 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 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $63.10 Typical High $257.04 | Facility | None | $48.98 | $63.10 | $257.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $50.12 Median $616.60 Typical High $741.31 | Professional | None | $50.12 | $616.60 | $741.31 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $74.13 Median $74.13 Typical High $81.28 | Professional | RR · Rental | $74.13 | $74.13 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $3.89 Median $50.12 Typical High $50.12 | Professional | None | $3.89 | $50.12 | $50.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $831.76 | Professional | None | $120.23 | $141.25 | $831.76 |
Providence Setting Facility Modifier None Typical Low $446.68 Median $645.65 Typical High $645.65 | Facility | None | $446.68 | $645.65 | $645.65 |
Providence Setting Professional Modifier None Typical Low $3.89 Median $50.12 Typical High $50.12 | Professional | None | $3.89 | $50.12 | $50.12 |
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 $363.08 Median $363.08 Typical High $446.68 | Professional | UE · Used equipment | $363.08 | $363.08 | $446.68 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $467.74 Median $467.74 Typical High $562.34 | Professional | UE · Used equipment | $467.74 | $467.74 | $562.34 |
Where California sits
The same service costs 14.8 times more in North Dakota than in Missouri. 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· 33rd of 51
$50.12
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.