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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $426.58 | Professional | None | $263.03 | $263.03 | $426.58 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $186.21 Median $186.21 Typical High $302.00 | Professional | UE · Used equipment | $186.21 | $186.21 | $302.00 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $41.69 Median $41.69 Typical High $44.67 | Professional | RR · Rental | $41.69 | $41.69 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $52.48 Typical High $213.80 | Facility | None | $40.74 | $52.48 | $213.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $446.68 | Professional | None | $416.87 | $416.87 | $446.68 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $41.69 Median $41.69 Typical High $51.29 | Professional | RR · Rental | $41.69 | $41.69 | $51.29 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $309.03 Median $309.03 Typical High $363.08 | Professional | UE · Used equipment | $309.03 | $309.03 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Cigna Setting Facility Modifier RR · Rental Typical Low $12.88 Median $12.88 Typical High $13.18 | Facility | RR · Rental | $12.88 | $12.88 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $128.82 | Professional | None | $109.65 | $128.82 | $128.82 |
Cigna Setting Professional Modifier RR · Rental Typical Low $10.96 Median $12.88 Typical High $13.18 | Professional | RR · Rental | $10.96 | $12.88 | $13.18 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | UE · Used equipment | $81.28 | $81.28 | $81.28 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $831.76 | Professional | None | $630.96 | $630.96 | $831.76 |
Providence Setting Facility Modifier None Typical Low $128.82 Median $263.03 Typical High $851.14 | Facility | None | $128.82 | $263.03 | $851.14 |
Providence Setting Facility Modifier RR · Rental Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | RR · Rental | $12.88 | $12.88 | $12.88 |
Providence Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $128.82 | Professional | None | $109.65 | $128.82 | $128.82 |
Providence Setting Professional Modifier RR · Rental Typical Low $10.96 Median $12.88 Typical High $13.18 | Professional | RR · Rental | $10.96 | $12.88 | $13.18 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | UE · Used equipment | $81.28 | $81.28 | $81.28 |
United Setting Professional Modifier None Typical Low $281.84 Median $398.11 Typical High $1,698.24 | Professional | None | $281.84 | $398.11 | $1,698.24 |
United Setting Professional Modifier RR · Rental Typical Low $31.62 Median $40.74 Typical High $169.82 | Professional | RR · Rental | $31.62 | $40.74 | $169.82 |
United Setting Professional Modifier UE · Used equipment Typical Low $223.87 Median $281.84 Typical High $1,380.38 | Professional | UE · Used equipment | $223.87 | $281.84 | $1,380.38 |
3 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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier NR · New when rented Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | NR · New when rented | $102.33 | $102.33 | $102.33 |
HealthNet Setting Professional Modifier 98 Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 98 | $44.67 | $44.67 | $44.67 |
Providence Setting Professional Modifier NR · New when rented Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | NR · New when rented | $102.33 | $102.33 | $102.33 |
Where California sits
The same service costs 17.8 times more in North Dakota than in Wyoming. 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· 21st of 51
$417
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.