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 $16,218.10 Median $16,218.10 Typical High $16,218.10 | Facility | None | $16,218.10 | $16,218.10 | $16,218.10 |
Aetna Setting Professional Modifier None Typical Low $7,762.47 Median $16,218.10 Typical High $16,218.10 | Professional | None | $7,762.47 | $16,218.10 | $16,218.10 |
Cigna Setting Professional Modifier None Typical Low $11,220.18 Median $11,220.18 Typical High $11,220.18 | Professional | None | $11,220.18 | $11,220.18 | $11,220.18 |
Moda Health Setting Facility Modifier None Typical Low $1,513.56 Median $8,709.64 Typical High $16,218.10 | Facility | None | $1,513.56 | $8,709.64 | $16,218.10 |
Moda Health Setting Professional Modifier None Typical Low $4,786.30 Median $16,218.10 Typical High $16,218.10 | Professional | None | $4,786.30 | $16,218.10 | $16,218.10 |
Premera BCBS Setting Facility Modifier None Typical Low $1,348.96 Median $1,513.56 Typical High $15,135.61 | Facility | None | $1,348.96 | $1,513.56 | $15,135.61 |
Premera BCBS Setting Professional Modifier None Typical Low $1,513.56 Median $1,905.46 Typical High $15,135.61 | Professional | None | $1,513.56 | $1,905.46 | $15,135.61 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $1,348.96 Median $1,513.56 Typical High $1,548.82 | Professional | RR · Rental | $1,348.96 | $1,513.56 | $1,548.82 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $9,549.93 Median $11,220.18 Typical High $11,220.18 | Professional | UE · Used equipment | $9,549.93 | $11,220.18 | $11,220.18 |
Providence Setting Facility Modifier None Typical Low $6,456.54 Median $9,549.93 Typical High $15,848.93 | Facility | None | $6,456.54 | $9,549.93 | $15,848.93 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $10,000.00 Typical High $14,125.38 | Professional | None | $60.26 | $10,000.00 | $14,125.38 |
United Setting Professional Modifier None Typical Low $6,456.54 Median $12,882.50 Typical High $34,673.69 | Professional | None | $6,456.54 | $12,882.50 | $34,673.69 |
United Setting Professional Modifier RR · Rental Typical Low $776.25 Median $1,288.25 Typical High $3,630.78 | Professional | RR · Rental | $776.25 | $1,288.25 | $3,630.78 |
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 |
|---|---|---|---|---|---|
Premera BCBS Setting Professional Modifier KR · Partial-month rental Typical Low $50.12 Median $50.12 Typical High $52.48 | Professional | KR · Partial-month rental | $50.12 | $50.12 | $52.48 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $3,090.30 Median $15,135.61 Typical High $15,135.61 | Professional | NR · New when rented | $3,090.30 | $15,135.61 | $15,135.61 |
Where Alaska sits
The same service costs 8.3 times more in North Dakota than in Washington. 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.
Alaska· 23rd of 51
$10,000
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.