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 $281.84 Median $288.40 Typical High $288.40 | Professional | None | $281.84 | $288.40 | $288.40 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $213.80 Median $218.78 Typical High $218.78 | Professional | UE · Used equipment | $213.80 | $218.78 | $218.78 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | RR · Rental | $36.31 | $36.31 | $36.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | RR · Rental | $30.20 | $30.20 | $30.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | UE · Used equipment | $281.84 | $281.84 | $281.84 |
Cigna Setting Facility Modifier RR · Rental Typical Low $34.67 Median $34.67 Typical High $42.66 | Facility | RR · Rental | $34.67 | $34.67 | $42.66 |
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 $29.51 Median $29.51 Typical High $29.51 | Professional | RR · Rental | $29.51 | $29.51 | $29.51 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $19.05 Median $24.55 Typical High $42.66 | Professional | None | $19.05 | $24.55 | $42.66 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $25.70 Median $25.70 Typical High $36.31 | Professional | RR · Rental | $25.70 | $25.70 | $36.31 |
United Setting Professional Modifier None Typical Low $19.50 Median $24.55 Typical High $43.65 | Professional | None | $19.50 | $24.55 | $43.65 |
United Setting Professional Modifier RR · Rental Typical Low $22.91 Median $25.70 Typical High $40.74 | Professional | RR · Rental | $22.91 | $25.70 | $40.74 |
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 |
|---|---|---|---|---|---|
Well Sense Setting Facility Modifier QB · Oxygen over 4 L/min + portable + QF · Oxygen over 4 L/min at rest + portable + RR · Rental Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | QB · Oxygen over 4 L/min + portable + QF · Oxygen over 4 L/min at rest + portable + RR · Rental | $48.98 | $48.98 | $48.98 |
Where New Hampshire 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.
New Hampshire· 23rd of 51
$302
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.