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 $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $549.54 | Professional | None | $331.13 | $331.13 | $549.54 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $257.04 Median $257.04 Typical High $436.52 | Professional | UE · Used equipment | $257.04 | $257.04 | $436.52 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $43.65 Median $43.65 Typical High $61.66 | Professional | RR · Rental | $43.65 | $43.65 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $58.88 Median $75.86 Typical High $316.23 | Facility | None | $58.88 | $75.86 | $316.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $660.69 | Professional | None | $616.60 | $616.60 | $660.69 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $61.66 Median $61.66 Typical High $66.07 | Professional | RR · Rental | $61.66 | $61.66 | $66.07 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $457.09 Median $457.09 Typical High $489.78 | Professional | UE · Used equipment | $457.09 | $457.09 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Cigna Setting Facility Modifier RR · Rental Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | RR · Rental | $19.95 | $19.95 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $199.53 | Professional | None | $169.82 | $199.53 | $199.53 |
Cigna Setting Professional Modifier RR · Rental Typical Low $16.98 Median $19.95 Typical High $19.95 | Professional | RR · Rental | $16.98 | $19.95 | $19.95 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | UE · Used equipment | $128.82 | $128.82 | $128.82 |
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 $199.53 Median $331.13 Typical High $1,071.52 | Facility | None | $199.53 | $331.13 | $1,071.52 |
Providence Setting Facility Modifier RR · Rental Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | RR · Rental | $19.95 | $19.95 | $19.95 |
Providence Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $199.53 | Professional | None | $169.82 | $199.53 | $199.53 |
Providence Setting Professional Modifier RR · Rental Typical Low $16.98 Median $19.95 Typical High $19.95 | Professional | RR · Rental | $16.98 | $19.95 | $19.95 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | UE · Used equipment | $128.82 | $128.82 | $128.82 |
United Setting Professional Modifier None Typical Low $354.81 Median $501.19 Typical High $2,137.96 | Professional | None | $354.81 | $501.19 | $2,137.96 |
United Setting Professional Modifier RR · Rental Typical Low $39.81 Median $50.12 Typical High $208.93 | Professional | RR · Rental | $39.81 | $50.12 | $208.93 |
United Setting Professional Modifier UE · Used equipment Typical Low $309.03 Median $398.11 Typical High $1,949.84 | Professional | UE · Used equipment | $309.03 | $398.11 | $1,949.84 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier NR · New when rented Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | NR · New when rented | $158.49 | $158.49 | $158.49 |
Providence Setting Professional Modifier NR · New when rented Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | NR · New when rented | $158.49 | $158.49 | $158.49 |
Where California sits
The same service costs 16.6 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· 36th of 51
$525
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.