How much rates vary
Facilitymedian $19 · 10th to 90th $11 to $79Professionalmedian $13 · 10th to 90th $8 to $19
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 $8.13 Median $12.59 Typical High $12.59 | Facility | None | $8.13 | $12.59 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $12.59 Typical High $14.13 | Professional | None | $7.24 | $12.59 | $14.13 |
Aetna Setting Professional Modifier RR · Rental Typical Low $0.76 Median $1.26 Typical High $1.41 | Professional | RR · Rental | $0.76 | $1.26 | $1.41 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $5.50 Median $9.33 Typical High $10.47 | Professional | UE · Used equipment | $5.50 | $9.33 | $10.47 |
Ambetter Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $20.42 | Professional | None | $13.49 | $13.49 | $20.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $77.62 | Facility | None | $16.60 | $16.60 | $77.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.30 Median $13.18 Typical High $19.50 | Professional | None | $12.30 | $13.18 | $19.50 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.23 Median $1.32 Typical High $1.95 | Professional | RR · Rental | $1.23 | $1.32 | $1.95 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $9.33 Median $10.00 Typical High $13.18 | Professional | UE · Used equipment | $9.33 | $10.00 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $14.13 | Facility | None | $10.96 | $10.96 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $12.59 | Professional | None | $9.33 | $9.33 | $12.59 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.98 Median $0.98 Typical High $1.45 | Professional | RR · Rental | $0.98 | $0.98 | $1.45 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | UE · Used equipment | $6.92 | $6.92 | $6.92 |
Medica Setting Facility Modifier None Typical Low $10.00 Median $21.38 Typical High $79.43 | Facility | None | $10.00 | $21.38 | $79.43 |
Medica Setting Facility Modifier RR · Rental Typical Low $4.79 Median $79.43 Typical High $79.43 | Facility | RR · Rental | $4.79 | $79.43 | $79.43 |
Medica Setting Professional Modifier None Typical Low $7.76 Median $10.96 Typical High $17.38 | Professional | None | $7.76 | $10.96 | $17.38 |
Medica Setting Professional Modifier RR · Rental Typical Low $0.81 Median $1.10 Typical High $1.78 | Professional | RR · Rental | $0.81 | $1.10 | $1.78 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $5.89 Median $7.41 Typical High $12.88 | Professional | UE · Used equipment | $5.89 | $7.41 | $12.88 |
United Setting Professional Modifier None Typical Low $6.76 Median $10.00 Typical High $19.05 | Professional | None | $6.76 | $10.00 | $19.05 |
United Setting Professional Modifier RR · Rental Typical Low $0.68 Median $1.02 Typical High $1.78 | Professional | RR · Rental | $0.68 | $1.02 | $1.78 |
United Setting Professional Modifier UE · Used equipment Typical Low $5.13 Median $7.59 Typical High $12.88 | Professional | UE · Used equipment | $5.13 | $7.59 | $12.88 |
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 $1.26 Median $1.26 Typical High $1.41 | Professional | MS · Maintenance fee | $1.26 | $1.26 | $1.41 |
Where Missouri sits
The same service costs 5.0 times more in Hawaii than in New Mexico. 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.
Missouri· 23rd of 51
$13.18
HI $38.90NM $7.76
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.