How much rates vary
Facilitymedian $240 · 10th to 90th $36 to $1,230Professionalmedian $170 · 10th to 90th $72 to $302
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 $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $223.87 Typical High $281.84 | Professional | None | $131.83 | $223.87 | $281.84 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $87.10 Median $165.96 Typical High $213.80 | Professional | UE · Used equipment | $87.10 | $165.96 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $234.42 Typical High $234.42 | Facility | None | $177.83 | $234.42 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $257.04 Typical High $380.19 | Professional | None | $177.83 | $257.04 | $380.19 |
Cigna Setting Professional Modifier RR · Rental Typical Low $17.78 Median $37.15 Typical High $38.90 | Professional | RR · Rental | $17.78 | $37.15 | $38.90 |
Hally Health Setting Professional Modifier None Typical Low $56.23 Median $354.81 Typical High $354.81 | Professional | None | $56.23 | $354.81 | $354.81 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $257.04 Typical High $1,230.27 | Facility | None | $36.31 | $257.04 | $1,230.27 |
Medica Setting Facility Modifier RR · Rental Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | RR · Rental | $123.03 | $123.03 | $123.03 |
Medica Setting Professional Modifier None Typical Low $38.02 Median $100.00 Typical High $275.42 | Professional | None | $38.02 | $100.00 | $275.42 |
Medica Setting Professional Modifier RR · Rental Typical Low $14.45 Median $17.78 Typical High $39.81 | Professional | RR · Rental | $14.45 | $17.78 | $39.81 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $75.86 Median $100.00 Typical High $204.17 | Professional | UE · Used equipment | $75.86 | $100.00 | $204.17 |
Midlands Setting Professional Modifier None Typical Low $44.67 Median $257.04 Typical High $562.34 | Professional | None | $44.67 | $257.04 | $562.34 |
Midlands Setting Professional Modifier RR · Rental Typical Low $37.15 Median $37.15 Typical High $38.90 | Professional | RR · Rental | $37.15 | $37.15 | $38.90 |
Midlands Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
United Setting Professional Modifier None Typical Low $100.00 Median $138.04 Typical High $288.40 | Professional | None | $100.00 | $138.04 | $288.40 |
United Setting Professional Modifier RR · Rental Typical Low $14.45 Median $17.78 Typical High $40.74 | Professional | RR · Rental | $14.45 | $17.78 | $40.74 |
United Setting Professional Modifier UE · Used equipment Typical Low $75.86 Median $100.00 Typical High $213.80 | Professional | UE · Used equipment | $75.86 | $100.00 | $213.80 |
Wellmark Setting Professional Modifier RR · Rental Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | RR · Rental | $27.54 | $27.54 | $27.54 |
3 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 52 · Reduced service Typical Low $72.44 Median $138.04 Typical High $141.25 | Professional | 52 · Reduced service | $72.44 | $138.04 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $54.95 Typical High $56.23 | Professional | 53 · Discontinued | $28.84 | $54.95 | $56.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $40.74 Typical High $42.66 | Professional | 55 · Aftercare only | $21.88 | $40.74 | $42.66 |
Where Iowa sits
The same service costs 22.4 times more in Kansas 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.
Iowa· 24th of 51
$182
KS $447IL $19.95
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.