How much rates vary
Facilitymedian $15 · 10th to 90th $15 to $148Professionalmedian $107 · 10th to 90th $35 to $145
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 $100.00 Median $100.00 Typical High $144.54 | Facility | None | $100.00 | $100.00 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $114.82 Typical High $144.54 | Professional | None | $100.00 | $114.82 | $144.54 |
Aetna Setting Professional Modifier RR · Rental Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | RR · Rental | $10.00 | $10.00 | $10.00 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $75.86 Median $87.10 Typical High $107.15 | Professional | UE · Used equipment | $75.86 | $87.10 | $107.15 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $14.45 Median $14.45 Typical High $22.39 | Professional | RR · Rental | $14.45 | $14.45 | $22.39 |
AvMed Setting Professional Modifier None Typical Low $28.84 Median $50.12 Typical High $50.12 | Professional | None | $28.84 | $50.12 | $50.12 |
AvMed Setting Professional Modifier RR · Rental Typical Low $35.48 Median $39.81 Typical High $50.12 | Professional | RR · Rental | $35.48 | $39.81 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $147.91 | Facility | None | $14.79 | $14.79 | $147.91 |
Cigna Setting Facility Modifier RR · Rental Typical Low $14.79 Median $14.79 Typical High $25.12 | Facility | RR · Rental | $14.79 | $14.79 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $125.89 | Professional | None | $107.15 | $125.89 | $125.89 |
Cigna Setting Professional Modifier RR · Rental Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | RR · Rental | $12.59 | $12.59 | $12.59 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | UE · Used equipment | $93.33 | $93.33 | $93.33 |
Florida Blue Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $208.93 | Professional | None | $190.55 | $190.55 | $208.93 |
Florida Blue Setting Professional Modifier RR · Rental Typical Low $17.38 Median $38.90 Typical High $50.12 | Professional | RR · Rental | $17.38 | $38.90 | $50.12 |
Florida Blue Setting Professional Modifier UE · Used equipment Typical Low $144.54 Median $144.54 Typical High $158.49 | Professional | UE · Used equipment | $144.54 | $144.54 | $158.49 |
Molina Setting Professional Modifier None Typical Low $41.69 Median $45.71 Typical High $45.71 | Professional | None | $41.69 | $45.71 | $45.71 |
United Setting Professional Modifier None Typical Low $12.02 Median $34.67 Typical High $60.26 | Professional | None | $12.02 | $34.67 | $60.26 |
United Setting Professional Modifier RR · Rental Typical Low $11.75 Median $12.02 Typical High $19.05 | Professional | RR · Rental | $11.75 | $12.02 | $19.05 |
United Setting Professional Modifier UE · Used equipment Typical Low $57.54 Median $61.66 Typical High $107.15 | Professional | UE · Used equipment | $57.54 | $61.66 | $107.15 |
Wellpoint Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
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 $10.00 Median $10.00 Typical High $10.00 | Professional | MS · Maintenance fee | $10.00 | $10.00 | $10.00 |
Where Florida sits
The same service costs 12.3 times more in Wyoming 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.
Florida· 35th of 51
$107
WY $302IL $24.55
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.