How much rates vary
Facilitymedian $8 · 10th to 90th $5 to $13Professionalmedian $6 · 10th to 90th $4 to $15
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 $4.17 Median $4.17 Typical High $44.67 | Facility | None | $4.17 | $4.17 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $30.90 | Professional | None | $4.17 | $4.17 | $30.90 |
Aetna Setting Professional Modifier RR · Rental Typical Low $0.42 Median $0.42 Typical High $2.00 | Professional | RR · Rental | $0.42 | $0.42 | $2.00 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $3.09 Median $3.09 Typical High $12.02 | Professional | UE · Used equipment | $3.09 | $3.09 | $12.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.59 Median $8.71 Typical High $13.49 | Facility | None | $7.59 | $8.71 | $13.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.25 Median $5.89 Typical High $16.22 | Professional | None | $5.25 | $5.89 | $16.22 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.50 Median $0.60 Typical High $1.00 | Professional | RR · Rental | $0.50 | $0.60 | $1.00 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3.72 Median $4.47 Typical High $7.08 | Professional | UE · Used equipment | $3.72 | $4.47 | $7.08 |
Aultcare Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | None | $8.32 | $8.32 | $8.32 |
CareSource Setting Facility Modifier None Typical Low $0.62 Median $4.68 Typical High $7.24 | Facility | None | $0.62 | $4.68 | $7.24 |
CareSource Setting Professional Modifier None Typical Low $0.56 Median $4.79 Typical High $6.92 | Professional | None | $0.56 | $4.79 | $6.92 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $6.31 | Facility | None | $4.79 | $4.79 | $6.31 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.79 | Professional | None | $4.07 | $4.07 | $4.79 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.37 Median $0.37 Typical High $0.37 | Professional | RR · Rental | $0.37 | $0.37 | $0.37 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | UE · Used equipment | $2.57 | $2.57 | $2.57 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $6.31 | Facility | None | $4.79 | $4.79 | $6.31 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.79 | Professional | None | $4.07 | $4.07 | $4.79 |
Medical Mutual of Ohio Setting Professional Modifier RR · Rental Typical Low $0.37 Median $0.37 Typical High $0.37 | Professional | RR · Rental | $0.37 | $0.37 | $0.37 |
Medical Mutual of Ohio Setting Professional Modifier UE · Used equipment Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | UE · Used equipment | $2.57 | $2.57 | $2.57 |
Molina Setting Professional Modifier None Typical Low $4.68 Median $5.89 Typical High $6.46 | Professional | None | $4.68 | $5.89 | $6.46 |
SummaCare Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | None | $8.32 | $8.32 | $8.32 |
United Setting Professional Modifier None Typical Low $2.34 Median $3.72 Typical High $5.25 | Professional | None | $2.34 | $3.72 | $5.25 |
United Setting Professional Modifier RR · Rental Typical Low $0.24 Median $0.38 Typical High $0.52 | Professional | RR · Rental | $0.24 | $0.38 | $0.52 |
United Setting Professional Modifier UE · Used equipment Typical Low $1.78 Median $2.75 Typical High $3.89 | Professional | UE · Used equipment | $1.78 | $2.75 | $3.89 |
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 $0.42 Median $0.42 Typical High $0.42 | Professional | MS · Maintenance fee | $0.42 | $0.42 | $0.42 |
Where Ohio sits
The same service costs 7.9 times more in Kansas 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.
Ohio· 19th of 51
$5.89
KS $27.54NM $3.47
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.