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 $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $302.00 Typical High $302.00 | Professional | None | $158.49 | $302.00 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $134.90 | Facility | None | $125.89 | $125.89 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $316.23 | Professional | None | $107.15 | $125.89 | $316.23 |
Moda Health Setting Facility Modifier None Typical Low $36.31 Median $173.78 Typical High $363.08 | Facility | None | $36.31 | $173.78 | $363.08 |
Moda Health Setting Professional Modifier None Typical Low $141.25 Median $281.84 Typical High $302.00 | Professional | None | $141.25 | $281.84 | $302.00 |
Premera BCBS Setting Facility Modifier None Typical Low $19.50 Median $194.98 Typical High $295.12 | Facility | None | $19.50 | $194.98 | $295.12 |
Premera BCBS Setting Professional Modifier None Typical Low $28.18 Median $40.74 Typical High $281.84 | Professional | None | $28.18 | $40.74 | $281.84 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $23.99 Median $28.18 Typical High $35.48 | Professional | RR · Rental | $23.99 | $28.18 | $35.48 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $40.74 Median $213.80 Typical High $213.80 | Professional | UE · Used equipment | $40.74 | $213.80 | $213.80 |
Providence Setting Facility Modifier None Typical Low $123.03 Median $154.88 Typical High $239.88 | Facility | None | $123.03 | $154.88 | $239.88 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $125.89 Typical High $316.23 | Professional | None | $60.26 | $125.89 | $316.23 |
United Setting Professional Modifier None Typical Low $144.54 Median $275.42 Typical High $630.96 | Professional | None | $144.54 | $275.42 | $630.96 |
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 $194.98 Median $281.84 Typical High $302.00 | Professional | NR · New when rented | $194.98 | $281.84 | $302.00 |
Where Alaska sits
The same service costs 3.0 times more in Kansas 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· 26th of 51
$170
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.