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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $61.66 Typical High $61.66 | Professional | None | $36.31 | $61.66 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $40.74 | Facility | None | $38.02 | $38.02 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $66.07 | Professional | None | $32.36 | $38.02 | $66.07 |
Moda Health Setting Facility Modifier None Typical Low $5.89 Median $40.74 Typical High $58.88 | Facility | None | $5.89 | $40.74 | $58.88 |
Moda Health Setting Professional Modifier None Typical Low $40.74 Median $57.54 Typical High $61.66 | Professional | None | $40.74 | $57.54 | $61.66 |
Premera BCBS Setting Facility Modifier None Typical Low $5.13 Median $51.29 Typical High $60.26 | Facility | None | $5.13 | $51.29 | $60.26 |
Premera BCBS Setting Professional Modifier None Typical Low $5.25 Median $11.22 Typical High $57.54 | Professional | None | $5.25 | $11.22 | $57.54 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $4.90 Median $5.75 Typical High $7.24 | Professional | RR · Rental | $4.90 | $5.75 | $7.24 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $11.22 Median $43.65 Typical High $43.65 | Professional | UE · Used equipment | $11.22 | $43.65 | $43.65 |
Providence Setting Facility Modifier None Typical Low $26.30 Median $36.31 Typical High $60.26 | Facility | None | $26.30 | $36.31 | $60.26 |
Providence Setting Professional Modifier None Typical Low $32.36 Median $40.74 Typical High $66.07 | Professional | None | $32.36 | $40.74 | $66.07 |
United Setting Professional Modifier None Typical Low $29.51 Median $56.23 Typical High $102.33 | Professional | None | $29.51 | $56.23 | $102.33 |
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 $11.22 Median $57.54 Typical High $57.54 | Professional | NR · New when rented | $11.22 | $57.54 | $57.54 |
Where Alaska sits
The same service costs 2.2 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· 31st of 51
$40.74
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.