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 Professional Modifier None Typical Low $6.92 Median $9.12 Typical High $9.12 | Professional | None | $6.92 | $9.12 | $9.12 |
Aetna Setting Professional Modifier RR · Rental Typical Low $0.39 Median $0.44 Typical High $0.89 | Professional | RR · Rental | $0.39 | $0.44 | $0.89 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $5.25 Median $6.76 Typical High $6.76 | Professional | UE · Used equipment | $5.25 | $6.76 | $6.76 |
BCBS Arizona Setting Facility Modifier None Typical Low $0.62 Median $1.45 Typical High $3.80 | Facility | None | $0.62 | $1.45 | $3.80 |
BCBS Arizona Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $21.88 | Professional | None | $9.77 | $9.77 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | RR · Rental | $0.60 | $0.60 | $0.60 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | UE · Used equipment | $5.37 | $5.37 | $5.37 |
Medica Setting Facility Modifier None Typical Low $9.12 Median $11.75 Typical High $79.43 | Facility | None | $9.12 | $11.75 | $79.43 |
Medica Setting Professional Modifier None Typical Low $5.50 Median $5.89 Typical High $69.18 | Professional | None | $5.50 | $5.89 | $69.18 |
Medica Setting Professional Modifier RR · Rental Typical Low $0.56 Median $0.62 Typical High $19.95 | Professional | RR · Rental | $0.56 | $0.62 | $19.95 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $4.07 Median $4.47 Typical High $6.31 | Professional | UE · Used equipment | $4.07 | $4.47 | $6.31 |
United Setting Professional Modifier None Typical Low $5.50 Median $5.89 Typical High $8.51 | Professional | None | $5.50 | $5.89 | $8.51 |
United Setting Professional Modifier RR · Rental Typical Low $0.56 Median $0.62 Typical High $0.87 | Professional | RR · Rental | $0.56 | $0.62 | $0.87 |
United Setting Professional Modifier UE · Used equipment Typical Low $4.07 Median $4.47 Typical High $6.31 | Professional | UE · Used equipment | $4.07 | $4.47 | $6.31 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $0.39 Median $0.44 Typical High $0.89 | Professional | MS · Maintenance fee | $0.39 | $0.44 | $0.89 |
Where Arizona sits
The same service costs 11.2 times more in Minnesota than in Illinois. 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.
Arizona· 30th of 51
$7.24
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.