How much rates vary
Facilitymedian $35 · 10th to 90th $25 to $93Professionalmedian $31 · 10th to 90th $19 to $339
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 $19.50 Median $20.89 Typical High $30.90 | Facility | None | $19.50 | $20.89 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $23.44 Typical High $32.36 | Professional | None | $19.50 | $23.44 | $32.36 |
Aetna Setting Professional Modifier RR · Rental Typical Low $1.51 Median $2.24 Typical High $3.02 | Professional | RR · Rental | $1.51 | $2.24 | $3.02 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $14.45 Median $16.98 Typical High $22.91 | Professional | UE · Used equipment | $14.45 | $16.98 | $22.91 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | RR · Rental | $1.78 | $1.78 | $1.78 |
BCBS Texas Setting Facility Modifier None Typical Low $31.62 Median $51.29 Typical High $112.20 | Facility | None | $31.62 | $51.29 | $112.20 |
BCBS Texas Setting Professional Modifier None Typical Low $1.91 Median $2.19 Typical High $2.19 | Professional | None | $1.91 | $2.19 | $2.19 |
Christus Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
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 $2.51 Median $25.12 Typical High $25.12 | Facility | RR · Rental | $2.51 | $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 |
Lucent Health Setting Professional Modifier None Typical Low $208.93 Median $302.00 Typical High $338.84 | Professional | None | $208.93 | $302.00 | $338.84 |
Lucent Health Setting Professional Modifier RR · Rental Typical Low $19.50 Median $28.84 Typical High $28.84 | Professional | RR · Rental | $19.50 | $28.84 | $28.84 |
Moda Health Setting Facility Modifier None Typical Low $20.89 Median $28.18 Typical High $40.74 | Facility | None | $20.89 | $28.18 | $40.74 |
Moda Health Setting Professional Modifier None Typical Low $19.50 Median $23.44 Typical High $32.36 | Professional | None | $19.50 | $23.44 | $32.36 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $1.51 Median $2.00 Typical High $2.40 | Professional | RR · Rental | $1.51 | $2.00 | $2.40 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $14.45 Median $16.98 Typical High $22.91 | Professional | UE · Used equipment | $14.45 | $16.98 | $22.91 |
Molina Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $81.28 | Professional | None | $27.54 | $27.54 | $81.28 |
Providence Setting Facility Modifier None Typical Low $22.39 Median $25.12 Typical High $40.74 | Facility | None | $22.39 | $25.12 | $40.74 |
Providence Setting Facility Modifier RR · Rental Typical Low $2.51 Median $25.12 Typical High $25.12 | Facility | RR · Rental | $2.51 | $25.12 | $25.12 |
Providence Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Providence 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 |
Providence 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 |
United Setting Professional Modifier None Typical Low $13.18 Median $18.20 Typical High $28.18 | Professional | None | $13.18 | $18.20 | $28.18 |
United Setting Professional Modifier RR · Rental Typical Low $1.32 Median $1.51 Typical High $3.24 | Professional | RR · Rental | $1.32 | $1.51 | $3.24 |
United Setting Professional Modifier UE · Used equipment Typical Low $10.00 Median $12.02 Typical High $24.55 | Professional | UE · Used equipment | $10.00 | $12.02 | $24.55 |
Wellpoint Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
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 $2.00 Median $2.24 Typical High $3.02 | Professional | MS · Maintenance fee | $2.00 | $2.24 | $3.02 |
Where Texas 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.
Texas· 21st of 51
$30.90
HI $42.66RI $16.22
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.