How much rates vary
Facilitymedian $49 · 10th to 90th $43 to $85Professionalmedian $389 · 10th to 90th $36 to $813
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 $251.19 Median $251.19 Typical High $257.04 | Professional | None | $251.19 | $251.19 | $257.04 |
Cigna Setting Facility Modifier RR · Rental Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | RR · Rental | $34.67 | $34.67 | $34.67 |
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 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $177.83 | Professional | None | $169.82 | $169.82 | $177.83 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $77.62 Median $97.72 Typical High $128.82 | Professional | RR · Rental | $77.62 | $97.72 | $128.82 |
Moda Health Setting Facility Modifier None Typical Low $35.48 Median $48.98 Typical High $251.19 | Facility | None | $35.48 | $48.98 | $251.19 |
Moda Health Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $35.48 Median $45.71 Typical High $51.29 | Professional | RR · Rental | $35.48 | $45.71 | $51.29 |
Pacific Source Setting Facility Modifier None Typical Low $46.77 Median $48.98 Typical High $56.23 | Facility | None | $46.77 | $48.98 | $56.23 |
Pacific Source Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $51.29 | Professional | None | $46.77 | $46.77 | $51.29 |
Providence Setting Facility Modifier None Typical Low $36.31 Median $52.48 Typical High $478.63 | Facility | None | $36.31 | $52.48 | $478.63 |
Providence Setting Professional Modifier None Typical Low $43.65 Median $812.83 Typical High $812.83 | Professional | None | $43.65 | $812.83 | $812.83 |
Providence Setting Professional Modifier RR · Rental Typical Low $29.51 Median $29.51 Typical High $47.86 | Professional | RR · Rental | $29.51 | $29.51 | $47.86 |
Regence BlueShield Setting Facility Modifier RR · Rental Typical Low $38.02 Median $75.86 Typical High $181.97 | Facility | RR · Rental | $38.02 | $75.86 | $181.97 |
Regence BlueShield Setting Professional Modifier RR · Rental Typical Low $52.48 Median $53.70 Typical High $56.23 | Professional | RR · Rental | $52.48 | $53.70 | $56.23 |
United Setting Professional Modifier None Typical Low $17.38 Median $22.91 Typical High $44.67 | Professional | None | $17.38 | $22.91 | $44.67 |
United Setting Professional Modifier RR · Rental Typical Low $22.91 Median $22.91 Typical High $61.66 | Professional | RR · Rental | $22.91 | $22.91 | $61.66 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier UE · Used equipment Typical Low $186.21 Median $186.21 Typical High $190.55 | Professional | UE · Used equipment | $186.21 | $186.21 | $190.55 |
Moda Health Setting Professional Modifier QF · Oxygen over 4 L/min at rest + portable Typical Low $35.48 Median $35.48 Typical High $47.86 | Professional | QF · Oxygen over 4 L/min at rest + portable | $35.48 | $35.48 | $47.86 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | UE · Used equipment | $186.21 | $186.21 | $186.21 |
Where Oregon 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.
Oregon· 32nd of 51
$251
VT $813HI $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.