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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $100.00 Typical High $100.00 | Professional | None | $51.29 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $52.48 | Facility | None | $48.98 | $48.98 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $48.98 Typical High $104.71 | Professional | None | $41.69 | $48.98 | $104.71 |
Moda Health Setting Facility Modifier None Typical Low $9.33 Median $52.48 Typical High $93.33 | Facility | None | $9.33 | $52.48 | $93.33 |
Moda Health Setting Professional Modifier None Typical Low $51.29 Median $93.33 Typical High $100.00 | Professional | None | $51.29 | $93.33 | $100.00 |
Premera BCBS Setting Facility Modifier None Typical Low $6.76 Median $67.61 Typical High $97.72 | Facility | None | $6.76 | $67.61 | $97.72 |
Premera BCBS Setting Professional Modifier None Typical Low $8.71 Median $19.05 Typical High $93.33 | Professional | None | $8.71 | $19.05 | $93.33 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $7.76 Median $9.33 Typical High $11.75 | Professional | RR · Rental | $7.76 | $9.33 | $11.75 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $19.95 Median $69.18 Typical High $69.18 | Professional | UE · Used equipment | $19.95 | $69.18 | $69.18 |
Providence Setting Facility Modifier None Typical Low $38.90 Median $48.98 Typical High $77.62 | Facility | None | $38.90 | $48.98 | $77.62 |
Providence Setting Professional Modifier None Typical Low $41.69 Median $51.29 Typical High $104.71 | Professional | None | $41.69 | $51.29 | $104.71 |
United Setting Professional Modifier None Typical Low $46.77 Median $89.13 Typical High $162.18 | Professional | None | $46.77 | $89.13 | $162.18 |
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 $8.13 Median $93.33 Typical High $97.72 | Professional | NR · New when rented | $8.13 | $93.33 | $97.72 |
Where Alaska sits
The same service costs 2.5 times more in Hawaii than in Illinois. 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· 35th of 51
$53.70
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.