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 $389.05 Median $407.38 Typical High $524.81 | Facility | None | $389.05 | $407.38 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $467.74 Typical High $524.81 | Professional | None | $389.05 | $467.74 | $524.81 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $302.00 Median $354.81 Typical High $398.11 | Professional | UE · Used equipment | $302.00 | $354.81 | $398.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $501.19 | Professional | None | $426.58 | $501.19 | $501.19 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $42.66 Median $50.12 Typical High $50.12 | Professional | RR · Rental | $42.66 | $50.12 | $50.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | UE · Used equipment | $380.19 | $380.19 | $380.19 |
CareSource Setting Facility Modifier None Typical Low $47.86 Median $104.71 Typical High $977.24 | Facility | None | $47.86 | $104.71 | $977.24 |
CareSource Setting Professional Modifier None Typical Low $72.44 Median $120.23 Typical High $1,380.38 | Professional | None | $72.44 | $120.23 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $524.81 Typical High $831.76 | Facility | None | $125.89 | $524.81 | $831.76 |
Cigna Setting Facility Modifier RR · Rental Typical Low $15.49 Median $64.57 Typical High $102.33 | Facility | RR · Rental | $15.49 | $64.57 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $2,344.23 | Professional | None | $316.23 | $371.54 | $2,344.23 |
Cigna Setting Professional Modifier RR · Rental Typical Low $31.62 Median $39.81 Typical High $371.54 | Professional | RR · Rental | $31.62 | $39.81 | $371.54 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $234.42 Median $346.74 Typical High $346.74 | Professional | UE · Used equipment | $234.42 | $346.74 | $346.74 |
Molina Setting Professional Modifier None Typical Low $61.66 Median $79.43 Typical High $794.33 | Professional | None | $61.66 | $79.43 | $794.33 |
United Setting Professional Modifier None Typical Low $218.78 Median $316.23 Typical High $457.09 | Professional | None | $218.78 | $316.23 | $457.09 |
United Setting Professional Modifier RR · Rental Typical Low $28.18 Median $38.90 Typical High $60.26 | Professional | RR · Rental | $28.18 | $38.90 | $60.26 |
United Setting Professional Modifier UE · Used equipment Typical Low $158.49 Median $234.42 Typical High $346.74 | Professional | UE · Used equipment | $158.49 | $234.42 | $346.74 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier MS · Maintenance fee Typical Low $29.51 Median $29.51 Typical High $31.62 | Professional | MS · Maintenance fee | $29.51 | $29.51 | $31.62 |
Where Kentucky 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.
Kentucky· 25th of 51
$457
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.