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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $141.25 Typical High $141.25 | Professional | None | $83.18 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $79.43 | Facility | None | $74.13 | $74.13 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $151.36 | Professional | None | $63.10 | $74.13 | $151.36 |
Moda Health Setting Facility Modifier None Typical Low $13.18 Median $77.62 Typical High $131.83 | Facility | None | $13.18 | $77.62 | $131.83 |
Moda Health Setting Professional Modifier None Typical Low $77.62 Median $131.83 Typical High $141.25 | Professional | None | $77.62 | $131.83 | $141.25 |
Premera BCBS Setting Facility Modifier None Typical Low $10.00 Median $100.00 Typical High $141.25 | Facility | None | $10.00 | $100.00 | $141.25 |
Premera BCBS Setting Professional Modifier None Typical Low $12.59 Median $27.54 Typical High $131.83 | Professional | None | $12.59 | $27.54 | $131.83 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $10.96 Median $13.18 Typical High $16.98 | Professional | RR · Rental | $10.96 | $13.18 | $16.98 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $100.00 Typical High $100.00 | Professional | UE · Used equipment | $27.54 | $100.00 | $100.00 |
Providence Setting Facility Modifier None Typical Low $57.54 Median $74.13 Typical High $117.49 | Facility | None | $57.54 | $74.13 | $117.49 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $74.13 Typical High $151.36 | Professional | None | $60.26 | $74.13 | $151.36 |
United Setting Professional Modifier None Typical Low $67.61 Median $128.82 Typical High $234.42 | Professional | None | $67.61 | $128.82 | $234.42 |
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 $12.59 Median $131.83 Typical High $131.83 | Professional | NR · New when rented | $12.59 | $131.83 | $131.83 |
Where Alaska sits
The same service costs 3.0 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.
Alaska· 33rd of 51
$79.43
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.