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 $676.08 Median $676.08 Typical High $1,548.82 | Professional | None | $676.08 | $676.08 | $1,548.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | RR · Rental | $120.23 | $120.23 | $120.23 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | UE · Used equipment | $891.25 | $891.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $691.83 | Facility | None | $645.65 | $645.65 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $645.65 | Professional | None | $549.54 | $549.54 | $645.65 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $588.84 Median $776.25 Typical High $4,265.80 | Professional | None | $588.84 | $776.25 | $4,265.80 |
United Setting Professional Modifier None Typical Low $501.19 Median $758.58 Typical High $1,258.93 | Professional | None | $501.19 | $758.58 | $1,258.93 |
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 $50.12 Median $50.12 Typical High $50.12 | Facility | KJ · Rental month 4–15 + KU · Bidding program group 3 | $50.12 | $50.12 | $50.12 |
Where New Hampshire sits
The same service costs 8.7 times more in North Dakota than in Mississippi. 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· 17th of 51
$1,148
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.