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 Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $13.80 Typical High $13.80 | Professional | None | $7.76 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $8.51 | Facility | None | $7.94 | $7.94 | $8.51 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $7.94 Typical High $14.45 | Professional | None | $6.76 | $7.94 | $14.45 |
Moda Health Setting Facility Modifier None Typical Low $3.63 Median $7.59 Typical High $12.88 | Facility | None | $3.63 | $7.59 | $12.88 |
Moda Health Setting Professional Modifier None Typical Low $8.32 Median $12.88 Typical High $13.80 | Professional | None | $8.32 | $12.88 | $13.80 |
Premera BCBS Setting Facility Modifier None Typical Low $1.02 Median $10.23 Typical High $13.49 | Facility | None | $1.02 | $10.23 | $13.49 |
Premera BCBS Setting Professional Modifier None Typical Low $1.10 Median $1.62 Typical High $12.88 | Professional | None | $1.10 | $1.62 | $12.88 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $1.05 Median $1.29 Typical High $1.62 | Professional | RR · Rental | $1.05 | $1.29 | $1.62 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $7.08 Median $9.55 Typical High $10.00 | Professional | UE · Used equipment | $7.08 | $9.55 | $10.00 |
Providence Setting Facility Modifier None Typical Low $5.75 Median $7.76 Typical High $13.18 | Facility | None | $5.75 | $7.76 | $13.18 |
Providence Setting Professional Modifier None Typical Low $6.76 Median $8.32 Typical High $60.26 | Professional | None | $6.76 | $8.32 | $60.26 |
United Setting Professional Modifier None Typical Low $6.61 Median $13.49 Typical High $22.91 | Professional | None | $6.61 | $13.49 | $22.91 |
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 |
|---|---|---|---|---|---|
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $2.82 Median $12.88 Typical High $12.88 | Professional | NR · New when rented | $2.82 | $12.88 | $12.88 |
Where Alaska sits
The same service costs 2.3 times more in Kansas than in Illinois. 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.
Alaska· 29th of 51
$8.32
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.