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 Professional Modifier None Typical Low $4,073.80 Median $5,248.07 Typical High $5,248.07 | Professional | None | $4,073.80 | $5,248.07 | $5,248.07 |
BCBS Arizona Setting Facility Modifier None Typical Low $263.03 Median $1,174.90 Typical High $1,778.28 | Facility | None | $263.03 | $1,174.90 | $1,778.28 |
BCBS Arizona Setting Professional Modifier None Typical Low $5,128.61 Median $6,760.83 Typical High $8,511.38 | Professional | None | $5,128.61 | $6,760.83 | $8,511.38 |
Cigna Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Facility | None | $5,128.61 | $5,128.61 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $5,128.61 | Professional | None | $4,365.16 | $4,365.16 | $5,128.61 |
Cigna Setting Professional Modifier RR · Rental Typical Low $436.52 Median $436.52 Typical High $512.86 | Professional | RR · Rental | $436.52 | $436.52 | $512.86 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $5,623.41 Typical High $33,113.11 | Facility | None | $758.58 | $5,623.41 | $33,113.11 |
Medica Setting Facility Modifier RR · Rental Typical Low $1,445.44 Median $3,311.31 Typical High $3,311.31 | Facility | RR · Rental | $1,445.44 | $3,311.31 | $3,311.31 |
Medica Setting Professional Modifier None Typical Low $2,089.30 Median $2,187.76 Typical High $4,466.84 | Professional | None | $2,089.30 | $2,187.76 | $4,466.84 |
Medica Setting Professional Modifier RR · Rental Typical Low $239.88 Median $316.23 Typical High $446.68 | Professional | RR · Rental | $239.88 | $316.23 | $446.68 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $2,187.76 Typical High $4,466.84 | Professional | None | $1,862.09 | $2,187.76 | $4,466.84 |
United Setting Professional Modifier RR · Rental Typical Low $245.47 Median $316.23 Typical High $446.68 | Professional | RR · Rental | $245.47 | $316.23 | $446.68 |
3 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier KF · Class III device Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | KF · Class III device | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $3,090.30 Median $3,890.45 Typical High $3,890.45 | Professional | UE · Used equipment | $3,090.30 | $3,890.45 | $3,890.45 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | UE · Used equipment | $3,981.07 | $3,981.07 | $3,981.07 |
Where Arizona sits
The same service costs 12.6 times more in Kansas 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.
Arizona· 42nd of 51
$3,467
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.