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 $457.09 Median $776.25 Typical High $776.25 | Facility | None | $457.09 | $776.25 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $457.09 Typical High $776.25 | Professional | None | $51.29 | $457.09 | $776.25 |
HMSA Setting Professional Modifier None Typical Low $851.14 Median $891.25 Typical High $891.25 | Professional | None | $851.14 | $891.25 | $891.25 |
HMSA Setting Professional Modifier KJ · Rental month 4–15 Typical Low $63.10 Median $66.07 Typical High $72.44 | Professional | KJ · Rental month 4–15 | $63.10 | $66.07 | $72.44 |
HMSA Setting Professional Modifier RR · Rental Typical Low $97.72 Median $102.33 Typical High $102.33 | Professional | RR · Rental | $97.72 | $102.33 | $102.33 |
HMSA Setting Professional Modifier UE · Used equipment Typical Low $630.96 Median $630.96 Typical High $660.69 | Professional | UE · Used equipment | $630.96 | $630.96 | $660.69 |
United Setting Professional Modifier None Typical Low $263.03 Median $660.69 Typical High $776.25 | Professional | None | $263.03 | $660.69 | $776.25 |
University Health Alliance Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
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 KU · Bidding program group 3 + RR · Rental Typical Low $58.88 Median $75.86 Typical High $85.11 | Professional | KU · Bidding program group 3 + RR · Rental | $58.88 | $75.86 | $85.11 |
Where Hawaii sits
The same service costs 2.9 times more in Hawaii than in Montana. 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
$851
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.