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 $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $676.08 Typical High $676.08 | Professional | None | $478.63 | $676.08 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $251.19 | Facility | None | $234.42 | $234.42 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $234.42 Typical High $776.25 | Professional | None | $199.53 | $234.42 | $776.25 |
Moda Health Setting Facility Modifier None Typical Low $186.21 Median $398.11 Typical High $676.08 | Facility | None | $186.21 | $398.11 | $676.08 |
Moda Health Setting Professional Modifier None Typical Low $446.68 Median $660.69 Typical High $676.08 | Professional | None | $446.68 | $660.69 | $676.08 |
Premera BCBS Setting Facility Modifier None Typical Low $52.48 Median $602.56 Typical High $660.69 | Facility | None | $52.48 | $602.56 | $660.69 |
Premera BCBS Setting Professional Modifier None Typical Low $60.26 Median $131.83 Typical High $630.96 | Professional | None | $60.26 | $131.83 | $630.96 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $52.48 Median $63.10 Typical High $81.28 | Professional | RR · Rental | $52.48 | $63.10 | $81.28 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $131.83 Median $478.63 Typical High $478.63 | Professional | UE · Used equipment | $131.83 | $478.63 | $478.63 |
Providence Setting Facility Modifier None Typical Low $251.19 Median $389.05 Typical High $660.69 | Facility | None | $251.19 | $389.05 | $660.69 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $234.42 Typical High $776.25 | Professional | None | $60.26 | $234.42 | $776.25 |
United Setting Professional Modifier None Typical Low $323.59 Median $630.96 Typical High $1,148.15 | Professional | None | $323.59 | $630.96 | $1,148.15 |
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 |
|---|---|---|---|---|---|
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $81.28 Median $630.96 Typical High $660.69 | Professional | NR · New when rented | $81.28 | $630.96 | $660.69 |
Where Alaska sits
The same service costs 3.0 times more in Hawaii than in Utah. 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· 16th of 51
$447
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.