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 $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $147.91 | Professional | None | $109.65 | $109.65 | $147.91 |
Cigna Setting Professional Modifier RR · Rental Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | RR · Rental | $199.53 | $199.53 | $199.53 |
HMSA Setting Professional Modifier None Typical Low $165.96 Median $218.78 Typical High $2,511.89 | Professional | None | $165.96 | $218.78 | $2,511.89 |
HMSA Setting Professional Modifier KJ · Rental month 4–15 Typical Low $141.25 Median $141.25 Typical High $147.91 | Professional | KJ · Rental month 4–15 | $141.25 | $141.25 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
United Setting Professional Modifier None Typical Low $83.18 Median $131.83 Typical High $158.49 | Professional | None | $83.18 | $131.83 | $158.49 |
United Setting Professional Modifier KJ · Rental month 4–15 Typical Low $173.78 Median $190.55 Typical High $190.55 | Professional | KJ · Rental month 4–15 | $173.78 | $190.55 | $190.55 |
United Setting Professional Modifier RR · Rental Typical Low $144.54 Median $199.53 Typical High $199.53 | Professional | RR · Rental | $144.54 | $199.53 | $199.53 |
University Health Alliance Setting Professional Modifier RR · Rental Typical Low $151.36 Median $151.36 Typical High $181.97 | Professional | RR · Rental | $151.36 | $151.36 | $181.97 |
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 $173.78 Median $190.55 Typical High $190.55 | Professional | KH · Purchase or 1st rental month | $173.78 | $190.55 | $190.55 |
United Setting Professional Modifier KI · Rental month 2–3 Typical Low $173.78 Median $190.55 Typical High $190.55 | Professional | KI · Rental month 2–3 | $173.78 | $190.55 | $190.55 |
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· 45th of 51
$132
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.