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 Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $6.17 | Professional | None | $5.75 | $5.75 | $6.17 |
Aetna Setting Professional Modifier RR · Rental Typical Low $0.59 Median $0.59 Typical High $0.59 | Professional | RR · Rental | $0.59 | $0.59 | $0.59 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $4.27 Median $4.27 Typical High $4.57 | Professional | UE · Used equipment | $4.27 | $4.27 | $4.57 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $20.42 Median $27.54 Typical High $32.36 | Facility | None | $20.42 | $27.54 | $32.36 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $5.13 Median $7.41 Typical High $7.41 | Professional | None | $5.13 | $7.41 | $7.41 |
BCBS Rhode Island Setting Professional Modifier RR · Rental Typical Low $0.51 Median $0.72 Typical High $0.72 | Professional | RR · Rental | $0.51 | $0.72 | $0.72 |
BCBS Rhode Island Setting Professional Modifier UE · Used equipment Typical Low $4.07 Median $4.90 Typical High $5.75 | Professional | UE · Used equipment | $4.07 | $4.90 | $5.75 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
United Setting Professional Modifier None Typical Low $5.50 Median $6.92 Typical High $10.00 | Professional | None | $5.50 | $6.92 | $10.00 |
United Setting Professional Modifier RR · Rental Typical Low $0.55 Median $0.72 Typical High $1.15 | Professional | RR · Rental | $0.55 | $0.72 | $1.15 |
United Setting Professional Modifier UE · Used equipment Typical Low $3.98 Median $5.25 Typical High $8.32 | Professional | UE · Used equipment | $3.98 | $5.25 | $8.32 |
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 $0.59 Median $0.59 Typical High $0.59 | Professional | MS · Maintenance fee | $0.59 | $0.59 | $0.59 |
Where Rhode Island 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.
Rhode Island· 47th of 51
$6.92
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.