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 $4,265.80 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,265.80 | $4,786.30 | $4,786.30 |
Aetna Setting Professional Modifier None Typical Low $4,265.80 Median $4,786.30 Typical High $7,079.46 | Professional | None | $4,265.80 | $4,786.30 | $7,079.46 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $3,162.28 Median $3,548.13 Typical High $5,754.40 | Professional | UE · Used equipment | $3,162.28 | $3,548.13 | $5,754.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $831.76 Median $1,071.52 Typical High $4,466.84 | Facility | None | $831.76 | $1,071.52 | $4,466.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $5,754.40 Median $8,511.38 Typical High $33,113.11 | Professional | None | $5,754.40 | $8,511.38 | $33,113.11 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $575.44 Median $851.14 Typical High $3,311.31 | Professional | RR · Rental | $575.44 | $851.14 | $3,311.31 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4,365.16 Median $6,456.54 Typical High $24,547.09 | Professional | UE · Used equipment | $4,365.16 | $6,456.54 | $24,547.09 |
Blue Shield Setting Facility Modifier None Typical Low $933.25 Median $15,135.61 Typical High $30,199.52 | Facility | None | $933.25 | $15,135.61 | $30,199.52 |
Blue Shield Setting Professional Modifier None Typical Low $11,481.54 Median $16,595.87 Typical High $24,547.09 | Professional | None | $11,481.54 | $16,595.87 | $24,547.09 |
Blue Shield Setting Professional Modifier RR · Rental Typical Low $61.66 Median $109.65 Typical High $194.98 | Professional | RR · Rental | $61.66 | $109.65 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $10,471.29 Median $10,471.29 Typical High $10,471.29 | Facility | None | $10,471.29 | $10,471.29 | $10,471.29 |
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 |
Cigna Setting Professional Modifier RR · Rental Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | RR · Rental | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Professional | UE · Used equipment | $8,317.64 | $8,317.64 | $8,317.64 |
Kaiser Permanente Setting Professional Modifier None Typical Low $141.25 Median $831.76 Typical High $34,673.69 | Professional | None | $141.25 | $831.76 | $34,673.69 |
Lucent Health Setting Professional Modifier None Typical Low $69,183.10 Median $69,183.10 Typical High $114,815.36 | Professional | None | $69,183.10 | $69,183.10 | $114,815.36 |
Lucent Health Setting Professional Modifier RR · Rental Typical Low $7,244.36 Median $7,244.36 Typical High $11,481.54 | Professional | RR · Rental | $7,244.36 | $7,244.36 | $11,481.54 |
Providence Setting Facility Modifier None Typical Low $1,584.89 Median $7,585.78 Typical High $17,378.01 | Facility | None | $1,584.89 | $7,585.78 | $17,378.01 |
Providence 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 |
Providence Setting Professional Modifier RR · Rental Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | RR · Rental | $645.65 | $645.65 | $645.65 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Professional | UE · Used equipment | $8,317.64 | $8,317.64 | $8,317.64 |
United Setting Professional Modifier None Typical Low $6,025.60 Median $6,918.31 Typical High $22,387.21 | Professional | None | $6,025.60 | $6,918.31 | $22,387.21 |
United Setting Professional Modifier RR · Rental Typical Low $616.60 Median $724.44 Typical High $1,949.84 | Professional | RR · Rental | $616.60 | $724.44 | $1,949.84 |
United Setting Professional Modifier UE · Used equipment Typical Low $4,570.88 Median $5,248.07 Typical High $16,595.87 | Professional | UE · Used equipment | $4,570.88 | $5,248.07 | $16,595.87 |
1 more rate 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 |
|---|---|---|---|---|---|
Sutter Health Plus Setting Professional Modifier KF · Class III device + RR · Rental Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | KF · Class III device + RR · Rental | $2,951.21 | $2,951.21 | $2,951.21 |
Where California 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.
California· 35th of 51
$8,511
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.