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 $173.78 Median $218.78 Typical High $281.84 | Professional | None | $173.78 | $218.78 | $281.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | RR · Rental | $39.81 | $39.81 | $39.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | UE · Used equipment | $295.12 | $295.12 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $239.88 Typical High $257.04 | Facility | None | $234.42 | $239.88 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $239.88 | Professional | None | $204.17 | $204.17 | $239.88 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $117.49 Median $177.83 Typical High $1,348.96 | Professional | None | $117.49 | $177.83 | $1,348.96 |
United Setting Professional Modifier None Typical Low $117.49 Median $177.83 Typical High $467.74 | Professional | None | $117.49 | $177.83 | $467.74 |
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 KH · Purchase or 1st rental month + KI · Rental month 2–3 + KU · Bidding program group 3 Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | KH · Purchase or 1st rental month + KI · Rental month 2–3 + KU · Bidding program group 3 | $33.88 | $33.88 | $33.88 |
Where New Hampshire sits
The same service costs 12.3 times more in Kansas than in Mississippi. 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· 16th of 51
$372
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.