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 $7.59 Median $12.88 Typical High $12.88 | Facility | None | $7.59 | $12.88 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $7.59 Typical High $12.88 | Professional | None | $7.24 | $7.59 | $12.88 |
Aetna Setting Professional Modifier RR · Rental Typical Low $0.76 Median $0.76 Typical High $0.76 | Professional | RR · Rental | $0.76 | $0.76 | $0.76 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $5.37 Median $5.75 Typical High $9.77 | Professional | UE · Used equipment | $5.37 | $5.75 | $9.77 |
Ambetter Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
BCBS Mississippi Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
BCBS Mississippi Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | None | $10.47 | $10.47 | $10.47 |
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 |
United Setting Professional Modifier None Typical Low $3.98 Median $6.31 Typical High $7.24 | Professional | None | $3.98 | $6.31 | $7.24 |
United Setting Professional Modifier RR · Rental Typical Low $0.41 Median $0.62 Typical High $0.72 | Professional | RR · Rental | $0.41 | $0.62 | $0.72 |
United Setting Professional Modifier UE · Used equipment Typical Low $2.95 Median $4.68 Typical High $5.25 | Professional | UE · Used equipment | $2.95 | $4.68 | $5.25 |
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 $0.76 Median $0.76 Typical High $0.76 | Professional | MS · Maintenance fee | $0.76 | $0.76 | $0.76 |
Where Mississippi 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.
Mississippi· 42nd 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.