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 Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $2,398.83 Typical High $2,691.53 | Professional | None | $1,949.84 | $2,398.83 | $2,691.53 |
CareFirst Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $3,162.28 | Professional | None | $2,398.83 | $2,398.83 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,630.78 | Professional | None | $3,090.30 | $3,090.30 | $3,630.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3,019.95 Median $3,981.07 Typical High $9,120.11 | Professional | None | $3,019.95 | $3,981.07 | $9,120.11 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $2,818.38 Typical High $3,981.07 | Professional | None | $2,041.74 | $2,818.38 | $3,981.07 |
United Setting Professional Modifier RR · Rental Typical Low $812.83 Median $1,122.02 Typical High $1,621.81 | Professional | RR · Rental | $812.83 | $1,122.02 | $1,621.81 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $354.81 Typical High $398.11 | Professional | 55 · Aftercare only | $288.40 | $354.81 | $398.11 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,949.84 Median $2,691.53 Typical High $3,801.89 | Professional | UE · Used equipment | $1,949.84 | $2,691.53 | $3,801.89 |
Where Washington, DC sits
The same service costs 2.0 times more in Hawaii than in Washington, DC. 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.
Washington, DC· 51st of 51
$2,399
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.