How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Professional Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $5,888.44 | Professional | None | $5,888.44 | $5,888.44 | $5,888.44 |
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 $1,096.48 Median $1,096.48 Typical High $10,715.19 | Professional | None | $1,096.48 | $1,096.48 | $10,715.19 |
Cigna Setting Professional Modifier RR · Rental Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | RR · Rental | $1,698.24 | $1,698.24 | $1,698.24 |
HMSA Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $2,818.38 | Professional | None | $371.54 | $371.54 | $2,818.38 |
United Setting Professional Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $10,471.29 | Professional | None | $5,754.40 | $5,754.40 | $10,471.29 |
United Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $1,445.44 Median $1,621.81 Typical High $1,621.81 | Professional | KH · Purchase or 1st rental month | $1,445.44 | $1,621.81 | $1,621.81 |
United Setting Professional Modifier KI · Rental month 2–3 Typical Low $1,445.44 Median $1,621.81 Typical High $1,621.81 | Professional | KI · Rental month 2–3 | $1,445.44 | $1,621.81 | $1,621.81 |
United Setting Professional Modifier KJ · Rental month 4–15 Typical Low $1,445.44 Median $1,621.81 Typical High $1,621.81 | Professional | KJ · Rental month 4–15 | $1,445.44 | $1,621.81 | $1,621.81 |
United Setting Professional Modifier RR · Rental Typical Low $1,230.27 Median $1,698.24 Typical High $1,698.24 | Professional | RR · Rental | $1,230.27 | $1,698.24 | $1,698.24 |
United Setting Professional Modifier UE · Used equipment Typical Low $4,365.16 Median $4,365.16 Typical High $7,943.28 | Professional | UE · Used equipment | $4,365.16 | $4,365.16 | $7,943.28 |
University Health Alliance Setting Professional Modifier RR · Rental Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | RR · Rental | $1,479.11 | $1,479.11 | $1,479.11 |
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 |
|---|---|---|---|---|---|
Kaiser Permanente Setting Professional Modifier KF · Class III device + RR · Rental Typical Low $1,096.48 Median $1,584.89 Typical High $2,041.74 | Professional | KF · Class III device + RR · Rental | $1,096.48 | $1,584.89 | $2,041.74 |
Where Hawaii 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.
Hawaii· 50th of 51
$5,754
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.