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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $100.00 Typical High $100.00 | Professional | None | $70.79 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $77.62 | Facility | None | $72.44 | $72.44 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $72.44 Typical High $112.20 | Professional | None | $61.66 | $72.44 | $112.20 |
Moda Health Setting Facility Modifier None Typical Low $37.15 Median $69.18 Typical High $100.00 | Facility | None | $37.15 | $69.18 | $100.00 |
Moda Health Setting Professional Modifier None Typical Low $70.79 Median $97.72 Typical High $100.00 | Professional | None | $70.79 | $97.72 | $100.00 |
Premera BCBS Setting Facility Modifier None Typical Low $9.33 Median $91.20 Typical High $97.72 | Facility | None | $9.33 | $91.20 | $97.72 |
Premera BCBS Setting Professional Modifier None Typical Low $9.33 Median $20.42 Typical High $93.33 | Professional | None | $9.33 | $20.42 | $93.33 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $7.94 Median $9.33 Typical High $11.75 | Professional | RR · Rental | $7.94 | $9.33 | $11.75 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $70.79 Typical High $70.79 | Professional | UE · Used equipment | $20.42 | $70.79 | $70.79 |
Providence Setting Facility Modifier None Typical Low $56.23 Median $72.44 Typical High $104.71 | Facility | None | $56.23 | $72.44 | $104.71 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $72.44 Typical High $112.20 | Professional | None | $60.26 | $72.44 | $112.20 |
United Setting Professional Modifier None Typical Low $47.86 Median $100.00 Typical High $165.96 | Professional | None | $47.86 | $100.00 | $165.96 |
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 $19.05 Median $93.33 Typical High $97.72 | Professional | NR · New when rented | $19.05 | $93.33 | $97.72 |
Where Alaska sits
The same service costs 2.6 times more in Kansas than in New Mexico. 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· 33rd of 51
$74.13
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.