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 $4.68 Median $7.76 Typical High $10.23 | Facility | None | $4.68 | $7.76 | $10.23 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $7.76 Typical High $10.23 | Professional | None | $7.41 | $7.76 | $10.23 |
Aetna Setting Professional Modifier RR · Rental Typical Low $0.48 Median $0.78 Typical High $0.89 | Professional | RR · Rental | $0.48 | $0.78 | $0.89 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $5.50 Median $5.89 Typical High $7.59 | Professional | UE · Used equipment | $5.50 | $5.89 | $7.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.25 Median $7.08 Typical High $10.23 | Professional | None | $5.25 | $7.08 | $10.23 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.52 Median $0.71 Typical High $0.98 | Professional | RR · Rental | $0.52 | $0.71 | $0.98 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5.25 Median $7.08 Typical High $9.77 | Professional | UE · Used equipment | $5.25 | $7.08 | $9.77 |
CareSource Setting Facility Modifier None Typical Low $1.45 Median $10.47 Typical High $13.80 | Facility | None | $1.45 | $10.47 | $13.80 |
CareSource Setting Professional Modifier None Typical Low $1.74 Median $14.13 Typical High $19.50 | Professional | None | $1.74 | $14.13 | $19.50 |
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 Facility Modifier RR · Rental Typical Low $0.30 Median $1.41 Typical High $2.00 | Facility | RR · Rental | $0.30 | $1.41 | $2.00 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $64.57 | Professional | None | $7.08 | $7.08 | $64.57 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.60 Median $0.60 Typical High $6.76 | Professional | RR · Rental | $0.60 | $0.60 | $6.76 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $5.37 Median $5.37 Typical High $8.32 | Professional | UE · Used equipment | $5.37 | $5.37 | $8.32 |
Molina Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $11.48 | Professional | None | $9.55 | $9.55 | $11.48 |
United Setting Professional Modifier None Typical Low $4.68 Median $6.31 Typical High $8.51 | Professional | None | $4.68 | $6.31 | $8.51 |
United Setting Professional Modifier RR · Rental Typical Low $0.48 Median $0.65 Typical High $0.85 | Professional | RR · Rental | $0.48 | $0.65 | $0.85 |
United Setting Professional Modifier UE · Used equipment Typical Low $3.47 Median $4.68 Typical High $6.31 | Professional | UE · Used equipment | $3.47 | $4.68 | $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 $0.48 Median $0.78 Typical High $0.78 | Professional | MS · Maintenance fee | $0.48 | $0.78 | $0.78 |
Where Kentucky 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.
Kentucky· 36th 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.