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 $346.74 Median $602.56 Typical High $602.56 | Facility | None | $346.74 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $602.56 Typical High $602.56 | Professional | None | $346.74 | $602.56 | $602.56 |
Aetna Setting Professional Modifier RR · Rental Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | RR · Rental | $60.26 | $60.26 | $60.26 |
Ambetter Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
AvMed Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
AvMed Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,202.26 | Facility | None | $1,148.15 | $1,148.15 | $1,202.26 |
Cigna Setting Facility Modifier RR · Rental Typical Low $114.82 Median $114.82 Typical High $120.23 | Facility | RR · Rental | $114.82 | $114.82 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $977.24 Typical High $977.24 | Professional | None | $831.76 | $977.24 | $977.24 |
Cigna Setting Professional Modifier RR · Rental Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | RR · Rental | $97.72 | $97.72 | $97.72 |
Florida Blue Setting Professional Modifier None Typical Low $489.78 Median $794.33 Typical High $1,122.02 | Professional | None | $489.78 | $794.33 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $112.20 Typical High $112.20 | Professional | None | $102.33 | $112.20 | $112.20 |
United Setting Professional Modifier None Typical Low $34.67 Median $54.95 Typical High $60.26 | Professional | None | $34.67 | $54.95 | $60.26 |
United Setting Professional Modifier RR · Rental Typical Low $34.67 Median $41.69 Typical High $151.36 | Professional | RR · Rental | $34.67 | $41.69 | $151.36 |
Wellpoint Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
4 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | MS · Maintenance fee | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | UE · Used equipment | $263.03 | $263.03 | $263.03 |
Cigna Setting Professional Modifier NR · New when rented Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | NR · New when rented | $912.01 | $912.01 | $912.01 |
United Setting Professional Modifier UE · Used equipment Typical Low $263.03 Median $309.03 Typical High $1,122.02 | Professional | UE · Used equipment | $263.03 | $309.03 | $1,122.02 |
Where Florida sits
The same service costs 51.3 times more in Minnesota than in Nebraska. 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· 15th of 51
$832
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.