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 $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier RR · Rental Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | RR · Rental | $3.47 | $3.47 | $3.47 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | UE · Used equipment | $25.70 | $25.70 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $31.62 | Professional | None | $26.92 | $26.92 | $31.62 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.75 Median $2.75 Typical High $2.75 | Professional | RR · Rental | $2.75 | $2.75 | $2.75 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | UE · Used equipment | $18.20 | $18.20 | $18.20 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $57.54 Typical High $229.09 | Facility | None | $34.67 | $57.54 | $229.09 |
Medica Setting Facility Modifier RR · Rental Typical Low $10.96 Median $89.13 Typical High $89.13 | Facility | RR · Rental | $10.96 | $89.13 | $89.13 |
Medica Setting Professional Modifier None Typical Low $18.62 Median $22.91 Typical High $40.74 | Professional | None | $18.62 | $22.91 | $40.74 |
Medica Setting Professional Modifier RR · Rental Typical Low $2.00 Median $2.45 Typical High $4.47 | Professional | RR · Rental | $2.00 | $2.45 | $4.47 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $13.80 Median $16.98 Typical High $30.90 | Professional | UE · Used equipment | $13.80 | $16.98 | $30.90 |
United Setting Professional Modifier None Typical Low $18.62 Median $24.55 Typical High $40.74 | Professional | None | $18.62 | $24.55 | $40.74 |
United Setting Professional Modifier RR · Rental Typical Low $2.00 Median $2.63 Typical High $4.47 | Professional | RR · Rental | $2.00 | $2.63 | $4.47 |
United Setting Professional Modifier UE · Used equipment Typical Low $13.80 Median $18.62 Typical High $30.90 | Professional | UE · Used equipment | $13.80 | $18.62 | $30.90 |
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 $3.47 Median $3.47 Typical High $3.47 | Professional | MS · Maintenance fee | $3.47 | $3.47 | $3.47 |
Where Arizona sits
The same service costs 2.9 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.
Arizona· 38th of 51
$31.62
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.