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 $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $12.30 Typical High $12.30 | Professional | None | $7.94 | $12.30 | $12.30 |
Aetna Setting Professional Modifier RR · Rental Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | RR · Rental | $1.26 | $1.26 | $1.26 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $6.03 Median $9.12 Typical High $9.12 | Professional | UE · Used equipment | $6.03 | $9.12 | $9.12 |
BCBS Wyoming Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
BCBS Wyoming Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | None | $13.49 | $13.49 | $13.49 |
BCBS Wyoming Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $9.55 | $9.55 | $9.55 |
BCBS Wyoming Setting Professional Modifier RR · Rental Typical Low $1.41 Median $1.41 Typical High $1.41 | Professional | RR · Rental | $1.41 | $1.41 | $1.41 |
BCBS Wyoming Setting Professional Modifier UE · Used equipment Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | UE · Used equipment | $10.23 | $10.23 | $10.23 |
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 $5.37 Median $5.89 Typical High $5.89 | Professional | None | $5.37 | $5.89 | $5.89 |
United Setting Professional Modifier RR · Rental Typical Low $0.55 Median $0.62 Typical High $0.62 | Professional | RR · Rental | $0.55 | $0.62 | $0.62 |
United Setting Professional Modifier UE · Used equipment Typical Low $3.98 Median $4.47 Typical High $4.47 | Professional | UE · Used equipment | $3.98 | $4.47 | $4.47 |
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 $1.26 Median $1.26 Typical High $1.26 | Professional | MS · Maintenance fee | $1.26 | $1.26 | $1.26 |
Where Wyoming 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.
Wyoming· 3rd of 51
$13.49
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.