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 $6.46 Median $6.92 Typical High $10.23 | Facility | None | $6.46 | $6.92 | $10.23 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $7.59 Typical High $10.23 | Professional | None | $6.03 | $7.59 | $10.23 |
Aetna Setting Professional Modifier RR · Rental Typical Low $0.48 Median $0.76 Typical High $1.38 | Professional | RR · Rental | $0.48 | $0.76 | $1.38 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $4.47 Median $5.62 Typical High $7.59 | Professional | UE · Used equipment | $4.47 | $5.62 | $7.59 |
BCBS Texas Setting Facility Modifier None Typical Low $10.47 Median $15.49 Typical High $37.15 | Facility | None | $10.47 | $15.49 | $37.15 |
BCBS Texas Setting Professional Modifier None Typical Low $0.63 Median $0.63 Typical High $0.63 | Professional | None | $0.63 | $0.63 | $0.63 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
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 |
Lucent Health Setting Professional Modifier None Typical Low $70.79 Median $91.20 Typical High $91.20 | Professional | None | $70.79 | $91.20 | $91.20 |
Lucent Health Setting Professional Modifier RR · Rental Typical Low $9.33 Median $9.33 Typical High $19.95 | Professional | RR · Rental | $9.33 | $9.33 | $19.95 |
Moda Health Setting Facility Modifier None Typical Low $6.92 Median $10.23 Typical High $13.49 | Facility | None | $6.92 | $10.23 | $13.49 |
Moda Health Setting Professional Modifier None Typical Low $6.03 Median $7.59 Typical High $10.72 | Professional | None | $6.03 | $7.59 | $10.72 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $0.50 Median $0.78 Typical High $1.55 | Professional | RR · Rental | $0.50 | $0.78 | $1.55 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $4.47 Median $5.75 Typical High $8.13 | Professional | UE · Used equipment | $4.47 | $5.75 | $8.13 |
Molina Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $8.91 | Professional | None | $7.76 | $7.76 | $8.91 |
Providence Setting Facility Modifier None Typical Low $6.92 Median $13.49 Typical High $229.09 | Facility | None | $6.92 | $13.49 | $229.09 |
Providence Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Providence 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 |
Providence 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 $4.90 Median $6.46 Typical High $8.51 | Professional | None | $4.90 | $6.46 | $8.51 |
United Setting Professional Modifier RR · Rental Typical Low $0.51 Median $0.66 Typical High $0.87 | Professional | RR · Rental | $0.51 | $0.66 | $0.87 |
United Setting Professional Modifier UE · Used equipment Typical Low $3.72 Median $4.79 Typical High $6.31 | Professional | UE · Used equipment | $3.72 | $4.79 | $6.31 |
Wellpoint Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | None | $7.24 | $7.24 | $7.24 |
2 more rates 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 $0.76 Typical High $0.83 | Professional | MS · Maintenance fee | $0.48 | $0.76 | $0.83 |
Moda Health Setting Professional Modifier MS · Maintenance fee Typical Low $0.48 Median $0.78 Typical High $0.89 | Professional | MS · Maintenance fee | $0.48 | $0.78 | $0.89 |
Where Texas 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.
Texas· 45th 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.