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 $13,182.57 Median $13,182.57 Typical High $13,182.57 | Facility | None | $13,182.57 | $13,182.57 | $13,182.57 |
Aetna Setting Professional Modifier None Typical Low $8,128.31 Median $13,182.57 Typical High $13,182.57 | Professional | None | $8,128.31 | $13,182.57 | $13,182.57 |
Cigna Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,370.32 | Facility | None | $5,011.87 | $5,011.87 | $5,370.32 |
Cigna Setting Professional Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $5,370.32 | Professional | None | $4,265.80 | $5,011.87 | $5,370.32 |
Moda Health Setting Facility Modifier None Typical Low $1,230.27 Median $7,079.46 Typical High $13,182.57 | Facility | None | $1,230.27 | $7,079.46 | $13,182.57 |
Moda Health Setting Professional Modifier None Typical Low $7,943.28 Median $13,182.57 Typical High $13,182.57 | Professional | None | $7,943.28 | $13,182.57 | $13,182.57 |
Premera BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $1,230.27 Typical High $12,302.69 | Facility | None | $1,122.02 | $1,230.27 | $12,302.69 |
Premera BCBS Setting Professional Modifier None Typical Low $1,122.02 Median $1,584.89 Typical High $12,302.69 | Professional | None | $1,122.02 | $1,584.89 | $12,302.69 |
Premera BCBS Setting Professional Modifier RR · Rental Typical Low $1,047.13 Median $1,230.27 Typical High $1,584.89 | Professional | RR · Rental | $1,047.13 | $1,230.27 | $1,584.89 |
Premera BCBS Setting Professional Modifier UE · Used equipment Typical Low $5,248.07 Median $9,332.54 Typical High $9,772.37 | Professional | UE · Used equipment | $5,248.07 | $9,332.54 | $9,772.37 |
Providence Setting Facility Modifier None Typical Low $5,370.32 Median $7,943.28 Typical High $12,882.50 | Facility | None | $5,370.32 | $7,943.28 | $12,882.50 |
Providence Setting Professional Modifier None Typical Low $60.26 Median $5,011.87 Typical High $5,370.32 | Professional | None | $60.26 | $5,011.87 | $5,370.32 |
United Setting Professional Modifier None Typical Low $4,265.80 Median $8,128.31 Typical High $14,791.08 | Professional | None | $4,265.80 | $8,128.31 | $14,791.08 |
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 $35.48 Median $41.69 Typical High $91.20 | Professional | KR · Partial-month rental | $35.48 | $41.69 | $91.20 |
Premera BCBS Setting Professional Modifier NR · New when rented Typical Low $2,570.40 Median $12,302.69 Typical High $12,302.69 | Professional | NR · New when rented | $2,570.40 | $12,302.69 | $12,302.69 |
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· 11th of 51
$7,943
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.