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 $14.79 Median $15.85 Typical High $21.38 | Facility | None | $14.79 | $15.85 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $18.20 Typical High $22.91 | Professional | None | $14.79 | $18.20 | $22.91 |
Aetna Setting Professional Modifier RR · Rental Typical Low $1.51 Median $2.40 Typical High $3.02 | Professional | RR · Rental | $1.51 | $2.40 | $3.02 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $12.02 Median $12.02 Typical High $17.38 | Professional | UE · Used equipment | $12.02 | $12.02 | $17.38 |
Ambetter Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
AvMed Setting Professional Modifier None Typical Low $32.36 Median $40.74 Typical High $46.77 | Professional | None | $32.36 | $40.74 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $29.51 | Facility | None | $25.12 | $25.12 | $29.51 |
Cigna Setting Facility Modifier RR · Rental Typical Low $2.69 Median $25.12 Typical High $25.12 | Facility | RR · Rental | $2.69 | $25.12 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | RR · Rental | $2.14 | $2.14 | $2.14 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | UE · Used equipment | $16.22 | $16.22 | $16.22 |
Florida Blue Setting Professional Modifier None Typical Low $23.99 Median $34.67 Typical High $112.20 | Professional | None | $23.99 | $34.67 | $112.20 |
Florida Blue Setting Professional Modifier RR · Rental Typical Low $3.16 Median $3.47 Typical High $50.12 | Professional | RR · Rental | $3.16 | $3.47 | $50.12 |
Florida Blue Setting Professional Modifier UE · Used equipment Typical Low $25.12 Median $26.92 Typical High $50.12 | Professional | UE · Used equipment | $25.12 | $26.92 | $50.12 |
Molina Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $17.78 Median $19.95 Typical High $54.95 | Professional | None | $17.78 | $19.95 | $54.95 |
United Setting Professional Modifier RR · Rental Typical Low $1.35 Median $1.74 Typical High $2.19 | Professional | RR · Rental | $1.35 | $1.74 | $2.19 |
United Setting Professional Modifier UE · Used equipment Typical Low $10.00 Median $12.59 Typical High $19.50 | Professional | UE · Used equipment | $10.00 | $12.59 | $19.50 |
Wellpoint Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $40.74 | Professional | None | $19.50 | $19.50 | $40.74 |
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 $2.24 Median $2.40 Typical High $3.02 | Professional | MS · Maintenance fee | $2.24 | $2.40 | $3.02 |
Where Florida sits
The same service costs 2.6 times more in Hawaii 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.
Florida· 45th of 51
$21.38
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.