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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $165.96 Typical High $165.96 | Professional | None | $97.72 | $165.96 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $87.10 | Facility | None | $81.28 | $81.28 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $81.28 Typical High $173.78 | Professional | None | $69.18 | $81.28 | $173.78 |
Moda Health Setting Facility Modifier None Typical Low $17.78 Median $93.33 Typical High $177.83 | Facility | None | $17.78 | $93.33 | $177.83 |
Moda Health Setting Professional Modifier None Typical Low $87.10 Median $154.88 Typical High $165.96 | Professional | None | $87.10 | $154.88 | $165.96 |
Premera BCBS Setting Facility Modifier None Typical Low $11.75 Median $117.49 Typical High $162.18 | Facility | None | $11.75 | $117.49 | $162.18 |
Premera BCBS Setting Professional Modifier None Typical Low $15.14 Median $26.92 Typical High $154.88 | Professional | None | $15.14 | $26.92 | $154.88 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $13.18 Median $15.49 Typical High $19.50 | Professional | RR · Rental | $13.18 | $15.49 | $19.50 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $93.33 Median $114.82 Typical High $120.23 | Professional | UE · Used equipment | $93.33 | $114.82 | $120.23 |
Providence Setting Facility Modifier None Typical Low $66.07 Median $85.11 Typical High $134.90 | Facility | None | $66.07 | $85.11 | $134.90 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $81.28 Typical High $173.78 | Professional | None | $60.26 | $81.28 | $173.78 |
United Setting Professional Modifier None Typical Low $77.62 Median $151.36 Typical High $302.00 | Professional | None | $77.62 | $151.36 | $302.00 |
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 $26.92 Median $154.88 Typical High $154.88 | Professional | NR · New when rented | $26.92 | $154.88 | $154.88 |
Where Alaska sits
The same service costs 3.0 times more in Kansas than in New Mexico. 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· 37th of 51
$93.33
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.