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 Professional Modifier None Typical Low $218.78 Median $281.84 Typical High $380.19 | Professional | None | $218.78 | $281.84 | $380.19 |
Cigna Setting Facility Modifier RR · Rental Typical Low $42.66 Median $51.29 Typical High $51.29 | Facility | RR · Rental | $42.66 | $51.29 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | RR · Rental | $56.23 | $56.23 | $56.23 |
HMSA Setting Professional Modifier None Typical Low $60.26 Median $104.71 Typical High $758.58 | Professional | None | $60.26 | $104.71 | $758.58 |
HMSA Setting Professional Modifier RR · Rental Typical Low $51.29 Median $53.70 Typical High $93.33 | Professional | RR · Rental | $51.29 | $53.70 | $93.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $676.08 | Professional | None | $31.62 | $31.62 | $676.08 |
United Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
United Setting Professional Modifier RR · Rental Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | RR · Rental | $56.23 | $56.23 | $56.23 |
University Health Alliance Setting Professional Modifier RR · Rental Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | RR · Rental | $32.36 | $32.36 | $32.36 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier UE · Used equipment Typical Low $162.18 Median $245.47 Typical High $281.84 | Professional | UE · Used equipment | $162.18 | $245.47 | $281.84 |
Where Hawaii sits
The same service costs 36.3 times more in Vermont than in Hawaii. 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.
Hawaii· 51st of 51
$22.39
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.