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 $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $9.55 Typical High $10.23 | Professional | None | $4.68 | $9.55 | $10.23 |
Aetna Setting Professional Modifier RR · Rental Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | RR · Rental | $1.00 | $1.00 | $1.00 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $3.47 Median $7.08 Typical High $7.59 | Professional | UE · Used equipment | $3.47 | $7.08 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $25.12 | Facility | None | $19.95 | $19.95 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $15.14 Typical High $18.62 | Professional | None | $12.88 | $15.14 | $18.62 |
Cigna Setting Professional Modifier RR · Rental Typical Low $1.35 Median $1.35 Typical High $1.82 | Professional | RR · Rental | $1.35 | $1.35 | $1.82 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $9.77 Median $9.77 Typical High $13.18 | Professional | UE · Used equipment | $9.77 | $9.77 | $13.18 |
Medica Setting Facility Modifier None Typical Low $8.13 Median $16.22 Typical High $16.22 | Facility | None | $8.13 | $16.22 | $16.22 |
Medica Setting Professional Modifier None Typical Low $4.90 Median $5.62 Typical High $69.18 | Professional | None | $4.90 | $5.62 | $69.18 |
Medica Setting Professional Modifier RR · Rental Typical Low $0.52 Median $0.62 Typical High $19.95 | Professional | RR · Rental | $0.52 | $0.62 | $19.95 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $3.72 Median $4.17 Typical High $8.71 | Professional | UE · Used equipment | $3.72 | $4.17 | $8.71 |
Midlands Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Midlands Setting Professional Modifier RR · Rental Typical Low $1.35 Median $1.35 Typical High $1.35 | Professional | RR · Rental | $1.35 | $1.35 | $1.35 |
Midlands Setting Professional Modifier UE · Used equipment Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | UE · Used equipment | $9.77 | $9.77 | $9.77 |
Midlands Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $25.12 | Professional | None | $10.96 | $10.96 | $25.12 |
United Setting Professional Modifier None Typical Low $4.68 Median $5.62 Typical High $11.48 | Professional | None | $4.68 | $5.62 | $11.48 |
United Setting Professional Modifier RR · Rental Typical Low $0.48 Median $0.58 Typical High $1.20 | Professional | RR · Rental | $0.48 | $0.58 | $1.20 |
United Setting Professional Modifier UE · Used equipment Typical Low $3.47 Median $4.17 Typical High $8.71 | Professional | UE · Used equipment | $3.47 | $4.17 | $8.71 |
Wellmark Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
Wellmark Setting Professional Modifier RR · Rental Typical Low $1.10 Median $1.10 Typical High $1.10 | Professional | RR · Rental | $1.10 | $1.10 | $1.10 |
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 $1.00 Median $1.00 Typical High $1.00 | Professional | MS · Maintenance fee | $1.00 | $1.00 | $1.00 |
Where South Dakota 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.
South Dakota· 8th of 51
$11.48
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.