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 $77.62 Median $102.33 Typical High $213.80 | Professional | None | $77.62 | $102.33 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $169.82 Typical High $199.53 | Facility | None | $144.54 | $169.82 | $199.53 |
Anthem BCBS Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $173.78 | Professional | None | $141.25 | $141.25 | $173.78 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $14.13 Median $14.13 Typical High $18.20 | Professional | RR · Rental | $14.13 | $14.13 | $18.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | UE · Used equipment | $104.71 | $104.71 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $138.04 | Facility | None | $128.82 | $128.82 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $131.83 | Professional | None | $109.65 | $109.65 | $131.83 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $66.07 Median $83.18 Typical High $489.78 | Professional | None | $66.07 | $83.18 | $489.78 |
United Setting Professional Modifier None Typical Low $56.23 Median $83.18 Typical High $190.55 | Professional | None | $56.23 | $83.18 | $190.55 |
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 |
|---|---|---|---|---|---|
Well Sense Setting Facility Modifier KJ · Rental month 4–15 + KU · Bidding program group 3 Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | KJ · Rental month 4–15 + KU · Bidding program group 3 | $9.33 | $9.33 | $9.33 |
Where New Hampshire sits
The same service costs 2.8 times more in Hawaii than in New Mexico. 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.
New Hampshire· 19th of 51
$141
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.