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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None Typical Low $316.23 Median $407.38 Typical High $630.96 | Professional | None | $316.23 | $407.38 | $630.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $602.56 Median $691.83 Typical High $812.83 | Facility | None | $602.56 | $691.83 | $812.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $676.08 | Professional | None | $512.86 | $512.86 | $676.08 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $51.29 Median $51.29 Typical High $67.61 | Professional | RR · Rental | $51.29 | $51.29 | $67.61 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | UE · Used equipment | $380.19 | $380.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $489.78 | Facility | None | $457.09 | $457.09 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $457.09 | Professional | None | $389.05 | $389.05 | $457.09 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $245.47 Median $309.03 Typical High $1,778.28 | Professional | None | $245.47 | $309.03 | $1,778.28 |
United Setting Professional Modifier None Typical Low $204.17 Median $309.03 Typical High $741.31 | Professional | None | $204.17 | $309.03 | $741.31 |
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 |
|---|---|---|---|---|---|
Well Sense Setting Facility Modifier KJ · Rental month 4–15 + KU · Bidding program group 3 Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | KJ · Rental month 4–15 + KU · Bidding program group 3 | $20.89 | $20.89 | $20.89 |
Where New Hampshire 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.
New Hampshire· 25th of 51
$513
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.