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 $18,197.01 Median $18,197.01 Typical High $18,197.01 | Facility | None | $18,197.01 | $18,197.01 | $18,197.01 |
Aetna Setting Professional Modifier None Typical Low $12,302.69 Median $18,197.01 Typical High $18,197.01 | Professional | None | $12,302.69 | $18,197.01 | $18,197.01 |
Cigna Setting Facility Modifier None Typical Low $10,715.19 Median $10,715.19 Typical High $10,715.19 | Facility | None | $10,715.19 | $10,715.19 | $10,715.19 |
Cigna Setting Professional Modifier None Typical Low $9,120.11 Median $10,715.19 Typical High $10,715.19 | Professional | None | $9,120.11 | $10,715.19 | $10,715.19 |
Moda Health Setting Facility Modifier None Typical Low $1,698.24 Median $9,772.37 Typical High $18,197.01 | Facility | None | $1,698.24 | $9,772.37 | $18,197.01 |
Moda Health Setting Professional Modifier None Typical Low $10,715.19 Median $18,197.01 Typical High $18,197.01 | Professional | None | $10,715.19 | $18,197.01 | $18,197.01 |
Premera BCBS Setting Facility Modifier None Typical Low $1,513.56 Median $1,698.24 Typical High $16,982.44 | Facility | None | $1,513.56 | $1,698.24 | $16,982.44 |
Premera BCBS Setting Professional Modifier None Typical Low $1,621.81 Median $3,467.37 Typical High $16,982.44 | Professional | None | $1,621.81 | $3,467.37 | $16,982.44 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $1,445.44 Median $1,698.24 Typical High $2,137.96 | Professional | RR · Rental | $1,445.44 | $1,698.24 | $2,137.96 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,445.44 Median $12,882.50 Typical High $12,882.50 | Professional | UE · Used equipment | $1,445.44 | $12,882.50 | $12,882.50 |
Providence Setting Facility Modifier None Typical Low $8,511.38 Median $10,715.19 Typical High $17,782.79 | Facility | None | $8,511.38 | $10,715.19 | $17,782.79 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $9,120.11 Typical High $10,715.19 | Professional | None | $60.26 | $9,120.11 | $10,715.19 |
United Setting Professional Modifier None Typical Low $5,754.40 Median $11,220.18 Typical High $20,417.38 | Professional | None | $5,754.40 | $11,220.18 | $20,417.38 |
2 more rates 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 KR · Partial-month rental Typical Low $53.70 Median $56.23 Typical High $954.99 | Professional | KR · Partial-month rental | $53.70 | $56.23 | $954.99 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $2,137.96 Median $16,982.44 Typical High $16,982.44 | Professional | NR · New when rented | $2,137.96 | $16,982.44 | $16,982.44 |
Where Alaska sits
The same service costs 11.0 times more in North Dakota 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.
Alaska· 11th of 51
$10,715
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.