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 $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 $239.88 | Professional | None | $100.00 | $114.82 | $239.88 |
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 $186.21 | Professional | UE · Used equipment | $75.86 | $87.10 | $186.21 |
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 $9.77 Median $45.71 Typical High $64.57 | Facility | None | $9.77 | $45.71 | $64.57 |
Cigna Setting Facility Modifier RR · Rental Typical Low $30.90 Median $30.90 Typical High $38.90 | Facility | RR · Rental | $30.90 | $30.90 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $562.34 Typical High $1,819.70 | Professional | None | $35.48 | $562.34 | $1,819.70 |
Cigna Setting Professional Modifier RR · Rental Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | RR · Rental | $26.30 | $26.30 | $26.30 |
Florida Blue Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
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 |
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 $18.20 Median $23.44 Typical High $60.26 | Professional | None | $18.20 | $23.44 | $60.26 |
United Setting Professional Modifier RR · Rental Typical Low $17.38 Median $22.91 Typical High $23.99 | Professional | RR · Rental | $17.38 | $22.91 | $23.99 |
Wellpoint Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
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 29.5 times more in Wyoming than in Oklahoma. 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· 24th of 51
$100
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.