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 $331.13 Median $489.78 Typical High $489.78 | Facility | None | $331.13 | $489.78 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $331.13 Typical High $501.19 | Professional | None | $38.02 | $331.13 | $501.19 |
HMSA Setting Professional Modifier None Typical Low $630.96 Median $660.69 Typical High $660.69 | Professional | None | $630.96 | $660.69 | $660.69 |
HMSA Setting Professional Modifier KJ · Rental month 4–15 Typical Low $47.86 Median $50.12 Typical High $51.29 | Professional | KJ · Rental month 4–15 | $47.86 | $50.12 | $51.29 |
HMSA Setting Professional Modifier RR · Rental Typical Low $63.10 Median $66.07 Typical High $66.07 | Professional | RR · Rental | $63.10 | $66.07 | $66.07 |
HMSA Setting Professional Modifier UE · Used equipment Typical Low $478.63 Median $478.63 Typical High $501.19 | Professional | UE · Used equipment | $478.63 | $478.63 | $501.19 |
United Setting Professional Modifier None Typical Low $199.53 Median $489.78 Typical High $489.78 | Professional | None | $199.53 | $489.78 | $489.78 |
University Health Alliance Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
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 KE · Bid item, non-bid base + RR · Rental Typical Low $44.67 Median $57.54 Typical High $63.10 | Professional | KE · Bid item, non-bid base + RR · Rental | $44.67 | $57.54 | $63.10 |
Where Hawaii sits
The same service costs 2.7 times more in Hawaii 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.
Hawaii· 1st of 51
$631
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.