How much rates vary
Facilitymedian $372 · 10th to 90th $58 to $631Professionalmedian $372 · 10th to 90th $257 to $631
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 $398.11 Median $426.58 Typical High $630.96 | Facility | None | $398.11 | $426.58 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $501.19 Typical High $630.96 | Professional | None | $398.11 | $501.19 | $630.96 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $380.19 Typical High $478.63 | Professional | UE · Used equipment | $295.12 | $380.19 | $478.63 |
Christus Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Christus Setting Facility Modifier RR · Rental Typical Low $57.54 Median $57.54 Typical High $77.62 | Facility | RR · Rental | $57.54 | $57.54 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Facility Modifier RR · Rental Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | RR · Rental | $37.15 | $37.15 | $37.15 |
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 |
Moda Health Setting Facility Modifier None Typical Low $57.54 Median $77.62 Typical High $630.96 | Facility | None | $57.54 | $77.62 | $630.96 |
Moda Health Setting Professional Modifier None Typical Low $380.19 Median $478.63 Typical High $630.96 | Professional | None | $380.19 | $478.63 | $630.96 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $363.08 Typical High $478.63 | Professional | UE · Used equipment | $288.40 | $363.08 | $478.63 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $69.18 Typical High $2,754.23 | Professional | None | $48.98 | $69.18 | $2,754.23 |
Providence Setting Facility Modifier None Typical Low $57.54 Median $371.54 Typical High $562.34 | Facility | None | $57.54 | $371.54 | $562.34 |
Providence Setting Facility Modifier RR · Rental Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | RR · Rental | $37.15 | $37.15 | $37.15 |
Providence Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $371.54 | Professional | None | $316.23 | $316.23 | $371.54 |
Providence 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 |
Providence 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 |
United Setting Professional Modifier None Typical Low $257.04 Median $338.84 Typical High $501.19 | Professional | None | $257.04 | $338.84 | $501.19 |
United Setting Professional Modifier RR · Rental Typical Low $28.84 Median $39.81 Typical High $57.54 | Professional | RR · Rental | $28.84 | $39.81 | $57.54 |
United Setting Professional Modifier UE · Used equipment Typical Low $190.55 Median $245.47 Typical High $380.19 | Professional | UE · Used equipment | $190.55 | $245.47 | $380.19 |
Wellpoint Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
6 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 |
Providence 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 |
Providence 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 |
Providence 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 Texas 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.
Texas· 42nd of 51
$372
ND $851RI $204
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.