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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $812.83 Typical High $812.83 | Professional | None | $602.56 | $812.83 | $812.83 |
BCBS Setting Professional Modifier None Typical Low $57.54 Median $75.86 Typical High $125.89 | Professional | None | $57.54 | $75.86 | $125.89 |
Cigna Setting Facility Modifier RR · Rental Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | RR · Rental | $67.61 | $67.61 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
Cigna Setting Professional Modifier RR · Rental Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | RR · Rental | $57.54 | $57.54 | $57.54 |
Molina Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $208.93 | Professional | None | $151.36 | $151.36 | $208.93 |
Providence Setting Facility Modifier None Typical Low $89.13 Median $218.78 Typical High $870.96 | Facility | None | $89.13 | $218.78 | $870.96 |
Providence Setting Professional Modifier None Typical Low $72.44 Median $89.13 Typical High $213.80 | Professional | None | $72.44 | $89.13 | $213.80 |
Providence Setting Professional Modifier RR · Rental Typical Low $57.54 Median $57.54 Typical High $70.79 | Professional | RR · Rental | $57.54 | $57.54 | $70.79 |
United Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $128.82 | Professional | None | $60.26 | $60.26 | $128.82 |
United Setting Professional Modifier RR · Rental Typical Low $40.74 Median $107.15 Typical High $199.53 | Professional | RR · Rental | $40.74 | $107.15 | $199.53 |
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 UE · Used equipment Typical Low $457.09 Median $616.60 Typical High $616.60 | Professional | UE · Used equipment | $457.09 | $616.60 | $616.60 |
Where New Mexico sits
The same service costs 22.4 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.
New Mexico· 42nd of 51
$126
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.