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 $4.90 Median $6.03 Typical High $6.92 | Facility | None | $4.90 | $6.03 | $6.92 |
Aetna Setting Professional Modifier None Typical Low $4.90 Median $6.03 Typical High $7.41 | Professional | None | $4.90 | $6.03 | $7.41 |
Aetna Setting Professional Modifier RR · Rental Typical Low $0.48 Median $0.48 Typical High $0.63 | Professional | RR · Rental | $0.48 | $0.48 | $0.63 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $3.63 Median $4.47 Typical High $5.62 | Professional | UE · Used equipment | $3.63 | $4.47 | $5.62 |
AvMed Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
AvMed Setting Professional Modifier None Typical Low $9.12 Median $10.47 Typical High $13.18 | Professional | None | $9.12 | $10.47 | $13.18 |
AvMed Setting Professional Modifier RR · Rental Typical Low $1.05 Median $1.05 Typical High $1.32 | Professional | RR · Rental | $1.05 | $1.05 | $1.32 |
AvMed Setting Professional Modifier UE · Used equipment Typical Low $7.94 Median $7.94 Typical High $9.77 | Professional | UE · Used equipment | $7.94 | $7.94 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $2.88 Median $13.49 Typical High $23.44 | Facility | None | $2.88 | $13.49 | $23.44 |
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 |
Florida Blue Setting Professional Modifier None Typical Low $2.95 Median $7.94 Typical High $8.91 | Professional | None | $2.95 | $7.94 | $8.91 |
Florida Blue Setting Professional Modifier RR · Rental Typical Low $0.28 Median $0.79 Typical High $1.00 | Professional | RR · Rental | $0.28 | $0.79 | $1.00 |
Florida Blue Setting Professional Modifier UE · Used equipment Typical Low $2.19 Median $5.89 Typical High $7.08 | Professional | UE · Used equipment | $2.19 | $5.89 | $7.08 |
Molina Setting Professional Modifier None Typical Low $7.24 Median $7.94 Typical High $7.94 | Professional | None | $7.24 | $7.94 | $7.94 |
United Setting Professional Modifier None Typical Low $5.89 Median $7.94 Typical High $60.26 | Professional | None | $5.89 | $7.94 | $60.26 |
United Setting Professional Modifier RR · Rental Typical Low $0.55 Median $0.65 Typical High $0.72 | Professional | RR · Rental | $0.55 | $0.65 | $0.72 |
United Setting Professional Modifier UE · Used equipment Typical Low $4.17 Median $4.79 Typical High $5.25 | Professional | UE · Used equipment | $4.17 | $4.79 | $5.25 |
Wellpoint Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | None | $7.24 | $7.24 | $7.24 |
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 $0.48 Median $0.48 Typical High $0.48 | Professional | MS · Maintenance fee | $0.48 | $0.48 | $0.48 |
Where Florida 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.
Florida· 43rd of 51
$7.08
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.