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 $4,168.69 Median $4,168.69 Typical High $4,168.69 | Facility | None | $4,168.69 | $4,168.69 | $4,168.69 |
Aetna Setting Professional Modifier None Typical Low $2,137.96 Median $4,168.69 Typical High $4,168.69 | Professional | None | $2,137.96 | $4,168.69 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,290.87 | Facility | None | $2,137.96 | $2,137.96 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,137.96 Typical High $2,290.87 | Professional | None | $1,819.70 | $2,137.96 | $2,290.87 |
Moda Health Setting Facility Modifier None Typical Low $389.05 Median $1,905.46 Typical High $3,630.78 | Facility | None | $389.05 | $1,905.46 | $3,630.78 |
Moda Health Setting Professional Modifier None Typical Low $245.47 Median $4,168.69 Typical High $4,168.69 | Professional | None | $245.47 | $4,168.69 | $4,168.69 |
Premera BCBS Setting Facility Modifier None Typical Low $309.03 Median $389.05 Typical High $3,890.45 | Facility | None | $309.03 | $389.05 | $3,890.45 |
Premera BCBS Setting Professional Modifier None Typical Low $331.13 Median $489.78 Typical High $3,890.45 | Professional | None | $331.13 | $489.78 | $3,890.45 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $316.23 Median $389.05 Typical High $489.78 | Professional | RR · Rental | $316.23 | $389.05 | $489.78 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $794.33 Median $2,884.03 Typical High $2,884.03 | Professional | UE · Used equipment | $794.33 | $2,884.03 | $2,884.03 |
Providence Setting Facility Modifier None Typical Low $1,513.56 Median $2,089.30 Typical High $3,630.78 | Facility | None | $1,513.56 | $2,089.30 | $3,630.78 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $2,137.96 Typical High $3,235.94 | Professional | None | $60.26 | $2,137.96 | $3,235.94 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $3,162.28 Typical High $5,754.40 | Professional | None | $1,659.59 | $3,162.28 | $5,754.40 |
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 $12.88 Median $12.88 Typical High $331.13 | Professional | KR · Partial-month rental | $12.88 | $12.88 | $331.13 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $794.33 Median $3,890.45 Typical High $3,890.45 | Professional | NR · New when rented | $794.33 | $3,890.45 | $3,890.45 |
Where Alaska sits
The same service costs 11.0 times more in North Dakota 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.
Alaska· 27th of 51
$2,138
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.