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 |
|---|---|---|---|---|---|
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,318.26 Typical High $1,318.26 | Facility | None | $501.19 | $1,318.26 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $501.19 Typical High $2,137.96 | Professional | None | $141.25 | $501.19 | $2,137.96 |
HMSA Setting Professional Modifier None Typical Low $1,905.46 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,905.46 | $1,995.26 | $1,995.26 |
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 |
HMSA Setting Professional Modifier RR · Rental Typical Low $204.17 Median $309.03 Typical High $323.59 | Professional | RR · Rental | $204.17 | $309.03 | $323.59 |
HMSA Setting Professional Modifier UE · Used equipment Typical Low $1,412.54 Median $1,412.54 Typical High $1,479.11 | Professional | UE · Used equipment | $1,412.54 | $1,412.54 | $1,479.11 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,318.26 Typical High $1,479.11 | Professional | None | $831.76 | $1,318.26 | $1,479.11 |
University Health Alliance Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
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 |
|---|---|---|---|---|---|
Kaiser Permanente Setting Professional Modifier KC · Wheelchair interface replaced + RR · Rental Typical Low $131.83 Median $169.82 Typical High $190.55 | Professional | KC · Wheelchair interface replaced + RR · Rental | $131.83 | $169.82 | $190.55 |
Where Hawaii sits
The same service costs 7.6 times more in Kansas than in Mississippi. 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· 4th of 51
$1,905
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.