How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 |
|---|---|---|---|---|---|
HMSA Setting Professional Modifier KJ · Rental month 4–15 Typical Low $549.54 Median $575.44 Typical High $630.96 | Professional | KJ · Rental month 4–15 | $549.54 | $575.44 | $630.96 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $512.86 Median $512.86 Typical High $724.44 | Professional | RR · Rental | $512.86 | $512.86 | $724.44 |
University Health Alliance Setting Professional Modifier RR · Rental Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | RR · Rental | $512.86 | $512.86 | $512.86 |
4 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 |
|---|---|---|---|---|---|
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 $562.34 Median $3,630.78 Typical High $5,128.61 | Professional | None | $562.34 | $3,630.78 | $5,128.61 |
HMSA Setting Professional Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $9,772.37 | Professional | None | $9,332.54 | $9,332.54 | $9,772.37 |
United Setting Professional Modifier None Typical Low $2,691.53 Median $4,677.35 Typical High $5,370.32 | Professional | None | $2,691.53 | $4,677.35 | $5,370.32 |
Where Hawaii 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.
Hawaii· 11th of 51
$5,129
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.