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 $3,630.78 Median $3,981.07 Typical High $5,248.07 | Facility | None | $3,630.78 | $3,981.07 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $3,630.78 Median $4,466.84 Typical High $5,248.07 | Professional | None | $3,630.78 | $4,466.84 | $5,248.07 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $2,884.03 Median $3,890.45 Typical High $3,890.45 | Professional | UE · Used equipment | $2,884.03 | $3,890.45 | $3,890.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $3,090.30 Median $4,265.80 Typical High $5,011.87 | Professional | None | $3,090.30 | $4,265.80 | $5,011.87 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $323.59 Median $426.58 Typical High $501.19 | Professional | RR · Rental | $323.59 | $426.58 | $501.19 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | UE · Used equipment | $3,715.35 | $3,715.35 | $3,715.35 |
CareSource Setting Facility Modifier None Typical Low $467.74 Median $645.65 Typical High $1,047.13 | Facility | None | $467.74 | $645.65 | $1,047.13 |
CareSource Setting Professional Modifier None Typical Low $676.08 Median $851.14 Typical High $1,174.90 | Professional | None | $676.08 | $851.14 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $5,248.07 Typical High $8,511.38 | Facility | None | $1,258.93 | $5,248.07 | $8,511.38 |
Cigna Setting Facility Modifier RR · Rental Typical Low $147.91 Median $616.60 Typical High $1,000.00 | Facility | RR · Rental | $147.91 | $616.60 | $1,000.00 |
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 $512.86 Typical High $588.84 | Professional | RR · Rental | $436.52 | $512.86 | $588.84 |
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 |
Molina Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None Typical Low $1,584.89 Median $2,570.40 Typical High $5,370.32 | Professional | None | $1,584.89 | $2,570.40 | $5,370.32 |
United Setting Professional Modifier RR · Rental Typical Low $234.42 Median $354.81 Typical High $549.54 | Professional | RR · Rental | $234.42 | $354.81 | $549.54 |
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 Kentucky 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.
Kentucky· 34th of 51
$4,266
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.