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 $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $144.54 | Professional | None | $107.15 | $107.15 | $144.54 |
Cigna Setting Professional Modifier RR · Rental Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | RR · Rental | $194.98 | $194.98 | $194.98 |
HMSA Setting Professional Modifier None Typical Low $162.18 Median $213.80 Typical High $2,454.71 | Professional | None | $162.18 | $213.80 | $2,454.71 |
HMSA Setting Professional Modifier KJ · Rental month 4–15 Typical Low $138.04 Median $138.04 Typical High $144.54 | Professional | KJ · Rental month 4–15 | $138.04 | $138.04 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
United Setting Professional Modifier None Typical Low $81.28 Median $128.82 Typical High $154.88 | Professional | None | $81.28 | $128.82 | $154.88 |
United Setting Professional Modifier KJ · Rental month 4–15 Typical Low $169.82 Median $186.21 Typical High $186.21 | Professional | KJ · Rental month 4–15 | $169.82 | $186.21 | $186.21 |
United Setting Professional Modifier RR · Rental Typical Low $141.25 Median $194.98 Typical High $194.98 | Professional | RR · Rental | $141.25 | $194.98 | $194.98 |
University Health Alliance Setting Professional Modifier RR · Rental Typical Low $147.91 Median $147.91 Typical High $177.83 | Professional | RR · Rental | $147.91 | $147.91 | $177.83 |
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 $169.82 Median $186.21 Typical High $186.21 | Professional | KH · Purchase or 1st rental month | $169.82 | $186.21 | $186.21 |
United Setting Professional Modifier KI · Rental month 2–3 Typical Low $169.82 Median $186.21 Typical High $186.21 | Professional | KI · Rental month 2–3 | $169.82 | $186.21 | $186.21 |
Where Hawaii sits
The same service costs 21.4 times more in North Dakota than in Florida. 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· 43rd of 51
$129
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.