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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $56.23 Typical High $56.23 | Professional | None | $37.15 | $56.23 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $26.30 | Facility | None | $24.55 | $24.55 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $24.55 Typical High $57.54 | Professional | None | $20.89 | $24.55 | $57.54 |
Moda Health Setting Facility Modifier None Typical Low $5.13 Median $36.31 Typical High $51.29 | Facility | None | $5.13 | $36.31 | $51.29 |
Moda Health Setting Professional Modifier None Typical Low $38.90 Median $51.29 Typical High $56.23 | Professional | None | $38.90 | $51.29 | $56.23 |
Premera BCBS Setting Facility Modifier None Typical Low $4.57 Median $45.71 Typical High $53.70 | Facility | None | $4.57 | $45.71 | $53.70 |
Premera BCBS Setting Professional Modifier None Typical Low $4.90 Median $10.47 Typical High $52.48 | Professional | None | $4.90 | $10.47 | $52.48 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $4.37 Median $5.25 Typical High $6.61 | Professional | RR · Rental | $4.37 | $5.25 | $6.61 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $6.61 Median $38.90 Typical High $38.90 | Professional | UE · Used equipment | $6.61 | $38.90 | $38.90 |
Providence Setting Facility Modifier None Typical Low $22.91 Median $32.36 Typical High $53.70 | Facility | None | $22.91 | $32.36 | $53.70 |
Providence Setting Professional Modifier None Typical Low $20.89 Median $26.30 Typical High $60.26 | Professional | None | $20.89 | $26.30 | $60.26 |
United Setting Professional Modifier None Typical Low $26.30 Median $53.70 Typical High $93.33 | Professional | None | $26.30 | $53.70 | $93.33 |
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 $4.90 Median $52.48 Typical High $52.48 | Professional | NR · New when rented | $4.90 | $52.48 | $52.48 |
Where Alaska sits
The same service costs 10.0 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· 28th of 51
$38.02
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.