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 $10,715.19 Median $10,715.19 Typical High $10,715.19 | Facility | None | $10,715.19 | $10,715.19 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $6,456.54 Median $10,715.19 Typical High $10,715.19 | Professional | None | $6,456.54 | $10,715.19 | $10,715.19 |
Cigna Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,677.35 | Facility | None | $4,365.16 | $4,365.16 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $3,715.35 Median $4,365.16 Typical High $4,677.35 | Professional | None | $3,715.35 | $4,365.16 | $4,677.35 |
Moda Health Setting Facility Modifier None Typical Low $1,000.00 Median $5,754.40 Typical High $10,715.19 | Facility | None | $1,000.00 | $5,754.40 | $10,715.19 |
Moda Health Setting Professional Modifier None Typical Low $6,309.57 Median $10,715.19 Typical High $10,715.19 | Professional | None | $6,309.57 | $10,715.19 | $10,715.19 |
Premera BCBS Setting Facility Modifier None Typical Low $891.25 Median $1,000.00 Typical High $10,000.00 | Facility | None | $891.25 | $1,000.00 | $10,000.00 |
Premera BCBS Setting Professional Modifier None Typical Low $954.99 Median $2,041.74 Typical High $10,000.00 | Professional | None | $954.99 | $2,041.74 | $10,000.00 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $851.14 Median $1,000.00 Typical High $1,258.93 | Professional | RR · Rental | $851.14 | $1,000.00 | $1,258.93 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $1,258.93 Median $7,585.78 Typical High $7,762.47 | Professional | UE · Used equipment | $1,258.93 | $7,585.78 | $7,762.47 |
Providence Setting Facility Modifier None Typical Low $4,466.84 Median $6,309.57 Typical High $10,471.29 | Facility | None | $4,466.84 | $6,309.57 | $10,471.29 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $4,365.16 Typical High $4,677.35 | Professional | None | $60.26 | $4,365.16 | $4,677.35 |
United Setting Professional Modifier None Typical Low $3,388.44 Median $6,606.93 Typical High $12,022.64 | Professional | None | $3,388.44 | $6,606.93 | $12,022.64 |
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 $28.18 Median $33.11 Typical High $954.99 | Professional | KR · Partial-month rental | $28.18 | $33.11 | $954.99 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $7,244.36 Median $10,000.00 Typical High $10,000.00 | Professional | NR · New when rented | $7,244.36 | $10,000.00 | $10,000.00 |
Where Alaska sits
The same service costs 11.2 times more in North Dakota than in Montana. 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· 10th of 51
$6,310
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.