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 $281.84 Median $288.40 Typical High $288.40 | Professional | None | $281.84 | $288.40 | $288.40 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $213.80 Median $218.78 Typical High $218.78 | Professional | UE · Used equipment | $213.80 | $218.78 | $218.78 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | RR · Rental | $32.36 | $32.36 | $32.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | RR · Rental | $30.20 | $30.20 | $30.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | UE · Used equipment | $223.87 | $223.87 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $338.84 | Facility | None | $31.62 | $31.62 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Professional Modifier RR · Rental Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | RR · Rental | $26.92 | $26.92 | $26.92 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $22.91 Median $25.70 Typical High $43.65 | Professional | None | $22.91 | $25.70 | $43.65 |
Harvard Pilgrim Setting Professional Modifier RR · Rental Typical Low $24.55 Median $25.70 Typical High $38.90 | Professional | RR · Rental | $24.55 | $25.70 | $38.90 |
United Setting Professional Modifier None Typical Low $24.55 Median $25.70 Typical High $52.48 | Professional | None | $24.55 | $25.70 | $52.48 |
United Setting Professional Modifier RR · Rental Typical Low $16.60 Median $24.55 Typical High $42.66 | Professional | RR · Rental | $16.60 | $24.55 | $42.66 |
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 QB · Oxygen over 4 L/min + portable + QF · Oxygen over 4 L/min at rest + portable + RR · Rental Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | QB · Oxygen over 4 L/min + portable + QF · Oxygen over 4 L/min at rest + portable + RR · Rental | $48.98 | $48.98 | $48.98 |
Where New Hampshire sits
The same service costs 30.2 times more in Wyoming than in Hawaii. 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· 12th of 51
$288
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.