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 $3,019.95 Median $3,019.95 Typical High $3,388.44 | Facility | None | $3,019.95 | $3,019.95 | $3,388.44 |
Aetna Setting Professional Modifier None Typical Low $3,019.95 Median $3,388.44 Typical High $5,011.87 | Professional | None | $3,019.95 | $3,388.44 | $5,011.87 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $2,238.72 Median $2,570.40 Typical High $3,801.89 | Professional | UE · Used equipment | $2,238.72 | $2,570.40 | $3,801.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $436.52 Median $5,011.87 Typical High $18,620.87 | Professional | None | $436.52 | $5,011.87 | $18,620.87 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $501.19 Median $588.84 Typical High $3,311.31 | Professional | RR · Rental | $501.19 | $588.84 | $3,311.31 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3,715.35 Median $3,981.07 Typical High $24,547.09 | Professional | UE · Used equipment | $3,715.35 | $3,981.07 | $24,547.09 |
CareSource Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $676.08 | Facility | None | $602.56 | $602.56 | $676.08 |
CareSource Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $676.08 | Professional | None | $602.56 | $602.56 | $676.08 |
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 |
Kaiser Permanente Setting Professional Modifier None Typical Low $741.31 Median $6,760.83 Typical High $11,220.18 | Professional | None | $741.31 | $6,760.83 | $11,220.18 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $2,570.40 Typical High $5,370.32 | Professional | None | $1,621.81 | $2,570.40 | $5,370.32 |
United Setting Professional Modifier RR · Rental Typical Low $234.42 Median $354.81 Typical High $588.84 | Professional | RR · Rental | $234.42 | $354.81 | $588.84 |
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 Georgia 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.
Georgia· 20th 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.