How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $131.83 | Professional | None | $100.00 | $100.00 | $131.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | RR · Rental | $213.80 | $213.80 | $213.80 |
HMSA Setting Professional Modifier None Typical Low $173.78 Median $234.42 Typical High $2,630.27 | Professional | None | $173.78 | $234.42 | $2,630.27 |
HMSA Setting Professional Modifier KJ · Rental month 4–15 Typical Low $147.91 Median $147.91 Typical High $154.88 | Professional | KJ · Rental month 4–15 | $147.91 | $147.91 | $154.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
United Setting Professional Modifier None Typical Low $70.79 Median $138.04 Typical High $165.96 | Professional | None | $70.79 | $138.04 | $165.96 |
United Setting Professional Modifier KJ · Rental month 4–15 Typical Low $181.97 Median $204.17 Typical High $204.17 | Professional | KJ · Rental month 4–15 | $181.97 | $204.17 | $204.17 |
United Setting Professional Modifier RR · Rental Typical Low $154.88 Median $213.80 Typical High $213.80 | Professional | RR · Rental | $154.88 | $213.80 | $213.80 |
University Health Alliance Setting Professional Modifier RR · Rental Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | RR · Rental | $125.89 | $125.89 | $125.89 |
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 |
|---|---|---|---|---|---|
United Setting Professional Modifier KH · Purchase or 1st rental month Typical Low $181.97 Median $204.17 Typical High $204.17 | Professional | KH · Purchase or 1st rental month | $181.97 | $204.17 | $204.17 |
United Setting Professional Modifier KI · Rental month 2–3 Typical Low $181.97 Median $204.17 Typical High $204.17 | Professional | KI · Rental month 2–3 | $181.97 | $204.17 | $204.17 |
Where Hawaii sits
The same service costs 22.9 times more in North Dakota than in Delaware. 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· 39th of 51
$138
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.