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 $338.84 Median $338.84 Typical High $389.05 | Facility | None | $338.84 | $338.84 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $354.81 Typical High $489.78 | Professional | None | $338.84 | $354.81 | $489.78 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $251.19 Median $269.15 Typical High $371.54 | Professional | UE · Used equipment | $251.19 | $269.15 | $371.54 |
AvMed Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $74.13 | Professional | None | $52.48 | $74.13 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $398.11 | Facility | None | $371.54 | $371.54 | $398.11 |
Cigna Setting Facility Modifier RR · Rental Typical Low $37.15 Median $37.15 Typical High $51.29 | Facility | RR · Rental | $37.15 | $37.15 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $371.54 | Professional | None | $316.23 | $316.23 | $371.54 |
Cigna Setting Professional Modifier RR · Rental Typical Low $31.62 Median $31.62 Typical High $37.15 | Professional | RR · Rental | $31.62 | $31.62 | $37.15 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | UE · Used equipment | $234.42 | $234.42 | $234.42 |
Florida Blue Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Florida Blue Setting Professional Modifier RR · Rental Typical Low $44.67 Median $74.13 Typical High $74.13 | Professional | RR · Rental | $44.67 | $74.13 | $74.13 |
Florida Blue Setting Professional Modifier UE · Used equipment Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | UE · Used equipment | $524.81 | $524.81 | $524.81 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $602.56 | Professional | None | $60.26 | $60.26 | $602.56 |
United Setting Professional Modifier None Typical Low $54.95 Median $316.23 Typical High $512.86 | Professional | None | $54.95 | $316.23 | $512.86 |
United Setting Professional Modifier RR · Rental Typical Low $28.84 Median $38.90 Typical High $64.57 | Professional | RR · Rental | $28.84 | $38.90 | $64.57 |
United Setting Professional Modifier UE · Used equipment Typical Low $190.55 Median $245.47 Typical High $389.05 | Professional | UE · Used equipment | $190.55 | $245.47 | $389.05 |
Wellpoint Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
3 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 |
|---|---|---|---|---|---|
Cigna Setting Facility Modifier MS · Maintenance fee Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | MS · Maintenance fee | $29.51 | $29.51 | $29.51 |
Cigna Setting Professional Modifier MS · Maintenance fee Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | MS · Maintenance fee | $29.51 | $29.51 | $29.51 |
Cigna Setting Professional Modifier NR · New when rented Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | NR · New when rented | $295.12 | $295.12 | $295.12 |
Where Florida sits
The same service costs 4.2 times more in North Dakota than in Rhode Island. 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.
Florida· 35th of 51
$372
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.