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 $6.92 Median $6.92 Typical High $7.24 | Facility | None | $6.92 | $6.92 | $7.24 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $7.24 Typical High $7.24 | Professional | None | $6.92 | $7.24 | $7.24 |
Aetna Setting Professional Modifier RR · Rental Typical Low $0.44 Median $0.83 Typical High $0.83 | Professional | RR · Rental | $0.44 | $0.83 | $0.83 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $5.25 Median $5.37 Typical High $5.37 | Professional | UE · Used equipment | $5.25 | $5.37 | $5.37 |
Ambetter Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | None | $9.12 | $9.12 | $9.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.02 Median $12.59 Typical High $16.98 | Facility | None | $12.02 | $12.59 | $16.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | None | $7.24 | $7.24 | $7.24 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.87 Median $0.87 Typical High $0.87 | Professional | RR · Rental | $0.87 | $0.87 | $0.87 |
Anthem BCBS 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 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $7.08 Typical High $7.41 | Professional | None | $5.25 | $7.08 | $7.41 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.60 Median $0.60 Typical High $1.55 | Professional | RR · Rental | $0.60 | $0.60 | $1.55 |
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 |
Select Health Setting Facility Modifier None Typical Low $1.48 Median $12.02 Typical High $4,265.80 | Facility | None | $1.48 | $12.02 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $0.93 Median $2.00 Typical High $14.45 | Professional | None | $0.93 | $2.00 | $14.45 |
United Setting Professional Modifier None Typical Low $1.45 Median $5.62 Typical High $7.41 | Professional | None | $1.45 | $5.62 | $7.41 |
United Setting Professional Modifier RR · Rental Typical Low $0.48 Median $0.62 Typical High $0.78 | Professional | RR · Rental | $0.48 | $0.62 | $0.78 |
United Setting Professional Modifier UE · Used equipment Typical Low $3.47 Median $4.47 Typical High $5.62 | Professional | UE · Used equipment | $3.47 | $4.47 | $5.62 |
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 $0.44 Median $0.83 Typical High $0.83 | Professional | MS · Maintenance fee | $0.44 | $0.83 | $0.83 |
Where Nevada 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.
Nevada· 31st 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.