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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $162.18 Typical High $162.18 | Professional | None | $38.90 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $26.92 | Facility | None | $25.12 | $25.12 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $109.65 | Professional | None | $21.38 | $25.12 | $109.65 |
Moda Health Setting Facility Modifier None Typical Low $19.05 Median $35.48 Typical High $181.97 | Facility | None | $19.05 | $35.48 | $181.97 |
Moda Health Setting Professional Modifier None Typical Low $38.90 Median $147.91 Typical High $162.18 | Professional | None | $38.90 | $147.91 | $162.18 |
Premera BCBS Setting Facility Modifier None Typical Low $4.57 Median $47.86 Typical High $154.88 | Facility | None | $4.57 | $47.86 | $154.88 |
Premera BCBS Setting Professional Modifier None Typical Low $11.22 Median $19.05 Typical High $151.36 | Professional | None | $11.22 | $19.05 | $151.36 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $10.47 Median $15.14 Typical High $15.14 | Professional | RR · Rental | $10.47 | $15.14 | $15.14 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $10.47 Median $112.20 Typical High $112.20 | Professional | UE · Used equipment | $10.47 | $112.20 | $112.20 |
Providence Setting Facility Modifier None Typical Low $25.12 Median $32.36 Typical High $51.29 | Facility | None | $25.12 | $32.36 | $51.29 |
Providence Setting Professional Modifier None Typical Low $21.38 Median $26.92 Typical High $109.65 | Professional | None | $21.38 | $26.92 | $109.65 |
United Setting Professional Modifier None Typical Low $45.71 Median $144.54 Typical High $416.87 | Professional | None | $45.71 | $144.54 | $416.87 |
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 |
|---|---|---|---|---|---|
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $10.72 Median $151.36 Typical High $151.36 | Professional | NR · New when rented | $10.72 | $151.36 | $151.36 |
Where Alaska sits
The same service costs 4.8 times more in Hawaii than in New Mexico. 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.
Alaska· 26th of 51
$38.90
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.