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 Professional Modifier None Typical Low $131.83 Median $181.97 Typical High $181.97 | Professional | None | $131.83 | $181.97 | $181.97 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $81.28 Median $138.04 Typical High $138.04 | Professional | UE · Used equipment | $81.28 | $138.04 | $138.04 |
CareSource Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $218.78 | Facility | None | $16.60 | $16.60 | $218.78 |
CareSource Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $239.88 | Professional | None | $17.78 | $17.78 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $186.21 Typical High $346.74 | Facility | None | $52.48 | $186.21 | $346.74 |
Cigna Setting Facility Modifier RR · Rental Typical Low $5.50 Median $18.62 Typical High $36.31 | Facility | RR · Rental | $5.50 | $18.62 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $151.36 Typical High $1,122.02 | Professional | None | $19.95 | $151.36 | $1,122.02 |
United Setting Professional Modifier None Typical Low $95.50 Median $199.53 Typical High $309.03 | Professional | None | $95.50 | $199.53 | $309.03 |
United Setting Professional Modifier RR · Rental Typical Low $14.45 Median $20.89 Typical High $39.81 | Professional | RR · Rental | $14.45 | $20.89 | $39.81 |
United Setting Professional Modifier UE · Used equipment Typical Low $70.79 Median $151.36 Typical High $234.42 | Professional | UE · Used equipment | $70.79 | $151.36 | $234.42 |
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 $77.62 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $77.62 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $36.31 Typical High $36.31 | Professional | 53 · Discontinued | $30.90 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $27.54 Typical High $27.54 | Professional | 55 · Aftercare only | $22.91 | $27.54 | $27.54 |
Where West Virginia 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.
West Virginia· 27th of 51
$178
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.