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 $123.03 Median $169.82 Typical High $169.82 | Professional | None | $123.03 | $169.82 | $169.82 |
Aetna Setting Professional Modifier RR · Rental Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | RR · Rental | $16.98 | $16.98 | $16.98 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $91.20 Median $128.82 Typical High $128.82 | Professional | UE · Used equipment | $91.20 | $128.82 | $128.82 |
BCBS Alabama Setting Professional Modifier 12 + 21 + 22 · Increased work + 31 + 32 · Mandated service + 41 + 52 · Reduced service + 93 · Audio-only telehealth Typical Low $14.79 Median $14.79 Typical High $147.91 | Professional | 12 + 21 + 22 · Increased work + 31 + 32 · Mandated service + 41 + 52 · Reduced service + 93 · Audio-only telehealth | $14.79 | $14.79 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Cigna Setting Facility Modifier RR · Rental Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | RR · Rental | $15.49 | $15.49 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $154.88 Typical High $154.88 | Professional | None | $131.83 | $154.88 | $154.88 |
Cigna Setting Professional Modifier RR · Rental Typical Low $13.18 Median $15.49 Typical High $15.49 | Professional | RR · Rental | $13.18 | $15.49 | $15.49 |
United Setting Professional Modifier None Typical Low $63.10 Median $93.33 Typical High $144.54 | Professional | None | $63.10 | $93.33 | $144.54 |
United Setting Professional Modifier RR · Rental Typical Low $7.24 Median $10.00 Typical High $14.45 | Professional | RR · Rental | $7.24 | $10.00 | $14.45 |
United Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $69.18 Typical High $107.15 | Professional | UE · Used equipment | $47.86 | $69.18 | $107.15 |
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 $16.98 Median $16.98 Typical High $16.98 | Professional | MS · Maintenance fee | $16.98 | $16.98 | $16.98 |
Where Alabama sits
The same service costs 16.2 times more in Kansas than in Rhode Island. 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.
Alabama· 25th of 51
$155
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.