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 $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $190.55 Typical High $190.55 | Professional | None | $120.23 | $190.55 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $112.20 Typical High $199.53 | Professional | None | $95.50 | $112.20 | $199.53 |
Moda Health Setting Facility Modifier None Typical Low $17.78 Median $109.65 Typical High $177.83 | Facility | None | $17.78 | $109.65 | $177.83 |
Moda Health Setting Professional Modifier None Typical Low $112.20 Median $177.83 Typical High $190.55 | Professional | None | $112.20 | $177.83 | $190.55 |
Premera BCBS Setting Facility Modifier None Typical Low $14.13 Median $141.25 Typical High $186.21 | Facility | None | $14.13 | $141.25 | $186.21 |
Premera BCBS Setting Professional Modifier None Typical Low $15.14 Median $22.39 Typical High $177.83 | Professional | None | $15.14 | $22.39 | $177.83 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $15.14 Median $17.78 Typical High $22.39 | Professional | RR · Rental | $15.14 | $17.78 | $22.39 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $36.31 Median $131.83 Typical High $131.83 | Professional | UE · Used equipment | $36.31 | $131.83 | $131.83 |
Providence Setting Facility Modifier None Typical Low $79.43 Median $107.15 Typical High $173.78 | Facility | None | $79.43 | $107.15 | $173.78 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $112.20 Typical High $199.53 | Professional | None | $60.26 | $112.20 | $199.53 |
United Setting Professional Modifier None Typical Low $89.13 Median $173.78 Typical High $316.23 | Professional | None | $89.13 | $173.78 | $316.23 |
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 $36.31 Median $177.83 Typical High $177.83 | Professional | NR · New when rented | $36.31 | $177.83 | $177.83 |
Where Alaska sits
The same service costs 1.9 times more in Wisconsin 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.
Alaska· 33rd of 51
$115
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.