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 $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $4,168.69 | Professional | None | $2,238.72 | $2,238.72 | $4,168.69 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,698.24 Median $1,698.24 Typical High $3,162.28 | Professional | UE · Used equipment | $1,698.24 | $1,698.24 | $3,162.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $676.08 Typical High $2,754.23 | Facility | None | $524.81 | $676.08 | $2,754.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $8,317.64 | Professional | None | $4,265.80 | $5,011.87 | $8,317.64 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $436.52 Median $501.19 Typical High $933.25 | Professional | RR · Rental | $436.52 | $501.19 | $933.25 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3,235.94 Median $3,801.89 Typical High $6,165.95 | Professional | UE · Used equipment | $3,235.94 | $3,801.89 | $6,165.95 |
Blue Shield Setting Facility Modifier None Typical Low $426.58 Median $1,023.29 Typical High $1,737.80 | Facility | None | $426.58 | $1,023.29 | $1,737.80 |
Blue Shield Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,466.84 | $4,466.84 | $4,466.84 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None | $5,011.87 | $5,011.87 | $5,011.87 |
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 Facility Modifier RR · Rental Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | RR · Rental | $512.86 | $512.86 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $4,365.16 Median $5,128.61 Typical High $5,128.61 | Professional | None | $4,365.16 | $5,128.61 | $5,128.61 |
Cigna Setting Professional Modifier RR · Rental Typical Low $436.52 Median $512.86 Typical High $512.86 | Professional | RR · Rental | $436.52 | $512.86 | $512.86 |
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 |
Contra Costa Health Setting Professional Modifier None Typical Low $5,011.87 Median $6,025.60 Typical High $6,025.60 | Professional | None | $5,011.87 | $6,025.60 | $6,025.60 |
Kaiser Permanente Setting Professional Modifier None Typical Low $630.96 Median $831.76 Typical High $5,011.87 | Professional | None | $630.96 | $831.76 | $5,011.87 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $426.58 Median $501.19 Typical High $870.96 | Professional | RR · Rental | $426.58 | $501.19 | $870.96 |
Providence Setting Facility Modifier None Typical Low $794.33 Median $5,128.61 Typical High $7,413.10 | Facility | None | $794.33 | $5,128.61 | $7,413.10 |
Providence Setting Facility Modifier RR · Rental Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | RR · Rental | $512.86 | $512.86 | $512.86 |
Providence Setting Professional Modifier None Typical Low $4,365.16 Median $5,128.61 Typical High $5,128.61 | Professional | None | $4,365.16 | $5,128.61 | $5,128.61 |
Providence Setting Professional Modifier RR · Rental Typical Low $436.52 Median $512.86 Typical High $512.86 | Professional | RR · Rental | $436.52 | $512.86 | $512.86 |
Providence 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 |
Sutter Health Plus Setting Professional Modifier RR · Rental Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | RR · Rental | $1,318.26 | $1,318.26 | $1,318.26 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $2,290.87 Typical High $12,882.50 | Professional | None | $1,862.09 | $2,290.87 | $12,882.50 |
United Setting Professional Modifier RR · Rental Typical Low $245.47 Median $331.13 Typical High $1,995.26 | Professional | RR · Rental | $245.47 | $331.13 | $1,995.26 |
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 |
|---|---|---|---|---|---|
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 |
Where California 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.
California· 14th of 51
$5,012
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.