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 $5.01 Median $5.01 Typical High $5.62 | Facility | None | $5.01 | $5.01 | $5.62 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $5.25 Typical High $13.18 | Professional | None | $5.01 | $5.25 | $13.18 |
Aetna Setting Professional Modifier RR · Rental Typical Low $0.76 Median $2.69 Typical High $2.69 | Professional | RR · Rental | $0.76 | $2.69 | $2.69 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $3.72 Median $3.89 Typical High $9.77 | Professional | UE · Used equipment | $3.72 | $3.89 | $9.77 |
Ambetter Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $44.67 | Facility | None | $12.02 | $12.02 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.00 Median $10.47 Typical High $64.57 | Professional | None | $1.00 | $10.47 | $64.57 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.87 Median $1.48 Typical High $6.76 | Professional | RR · Rental | $0.87 | $1.48 | $6.76 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $6.31 Median $10.72 Typical High $48.98 | Professional | UE · Used equipment | $6.31 | $10.72 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $16.22 | Professional | None | $7.08 | $7.08 | $16.22 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.60 Median $0.60 Typical High $1.70 | Professional | RR · Rental | $0.60 | $0.60 | $1.70 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $5.37 Median $5.37 Typical High $10.72 | Professional | UE · Used equipment | $5.37 | $5.37 | $10.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.10 Median $12.02 Typical High $14.45 | Professional | None | $1.10 | $12.02 | $14.45 |
Kaiser Permanente Setting Professional Modifier RR · Rental Typical Low $1.10 Median $1.26 Typical High $1.51 | Professional | RR · Rental | $1.10 | $1.26 | $1.51 |
Kaiser Permanente Setting Professional Modifier UE · Used equipment Typical Low $1.10 Median $9.12 Typical High $10.96 | Professional | UE · Used equipment | $1.10 | $9.12 | $10.96 |
United Setting Professional Modifier None Typical Low $3.98 Median $5.89 Typical High $21.38 | Professional | None | $3.98 | $5.89 | $21.38 |
United Setting Professional Modifier RR · Rental Typical Low $0.41 Median $0.62 Typical High $2.24 | Professional | RR · Rental | $0.41 | $0.62 | $2.24 |
United Setting Professional Modifier UE · Used equipment Typical Low $2.95 Median $4.47 Typical High $16.22 | Professional | UE · Used equipment | $2.95 | $4.47 | $16.22 |
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 $0.89 Typical High $1.12 | Professional | MS · Maintenance fee | $0.48 | $0.89 | $1.12 |
Where Georgia 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.
Georgia· 15th of 51
$8.91
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.