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 $426.58 Typical High $426.58 | Facility | None | $331.13 | $426.58 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $331.13 Typical High $436.52 | Professional | None | $35.48 | $331.13 | $436.52 |
HMSA Setting Professional Modifier None Typical Low $549.54 Median $575.44 Typical High $575.44 | Professional | None | $549.54 | $575.44 | $575.44 |
HMSA Setting Professional Modifier KJ · Rental month 4–15 Typical Low $43.65 Median $44.67 Typical High $46.77 | Professional | KJ · Rental month 4–15 | $43.65 | $44.67 | $46.77 |
HMSA Setting Professional Modifier RR · Rental Typical Low $54.95 Median $57.54 Typical High $57.54 | Professional | RR · Rental | $54.95 | $57.54 | $57.54 |
HMSA Setting Professional Modifier UE · Used equipment Typical Low $416.87 Median $416.87 Typical High $436.52 | Professional | UE · Used equipment | $416.87 | $416.87 | $436.52 |
United Setting Professional Modifier None Typical Low $204.17 Median $426.58 Typical High $426.58 | Professional | None | $204.17 | $426.58 | $426.58 |
University Health Alliance Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
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 $38.90 Median $50.12 Typical High $54.95 | Professional | KE · Bid item, non-bid base + RR · Rental | $38.90 | $50.12 | $54.95 |
Where Hawaii sits
The same service costs 2.4 times more in Hawaii than in Utah. 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
$550
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.