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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $138.04 | Professional | None | $91.20 | $91.20 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $131.83 Median $154.88 Typical High $181.97 | Facility | None | $131.83 | $154.88 | $181.97 |
Anthem BCBS Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $151.36 | Professional | None | $138.04 | $138.04 | $151.36 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $13.80 Median $13.80 Typical High $15.14 | Professional | RR · Rental | $13.80 | $13.80 | $15.14 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | UE · Used equipment | $102.33 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $69.18 | Facility | None | $64.57 | $64.57 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $64.57 | Professional | None | $54.95 | $54.95 | $64.57 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $58.88 Median $75.86 Typical High $416.87 | Professional | None | $58.88 | $75.86 | $416.87 |
United Setting Professional Modifier None Typical Low $50.12 Median $75.86 Typical High $181.97 | Professional | None | $50.12 | $75.86 | $181.97 |
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 |
|---|---|---|---|---|---|
Well Sense Setting Facility Modifier KJ · Rental month 4–15 + KU · Bidding program group 3 Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | KJ · Rental month 4–15 + KU · Bidding program group 3 | $7.94 | $7.94 | $7.94 |
Where New Hampshire sits
The same service costs 5.1 times more in Kansas than in Illinois. 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.
New Hampshire· 16th of 51
$138
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.