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 $11.22 Median $12.02 Typical High $17.78 | Facility | None | $11.22 | $12.02 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $13.18 Typical High $17.78 | Professional | None | $11.22 | $13.18 | $17.78 |
Aetna Setting Professional Modifier RR · Rental Typical Low $1.20 Median $1.20 Typical High $1.20 | Professional | RR · Rental | $1.20 | $1.20 | $1.20 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $8.32 Median $10.00 Typical High $13.18 | Professional | UE · Used equipment | $8.32 | $10.00 | $13.18 |
BCBS Texas Setting Professional Modifier None Typical Low $1.38 Median $1.38 Typical High $1.38 | Professional | None | $1.38 | $1.38 | $1.38 |
Christus Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $25.70 | Facility | None | $22.91 | $22.91 | $25.70 |
Christus Setting Facility Modifier RR · Rental Typical Low $2.29 Median $2.29 Typical High $2.51 | Facility | RR · Rental | $2.29 | $2.29 | $2.51 |
Christus Setting Facility Modifier UE · Used equipment Typical Low $16.98 Median $16.98 Typical High $19.05 | Facility | UE · Used equipment | $16.98 | $16.98 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $14.45 Typical High $14.45 | Professional | None | $12.30 | $14.45 | $14.45 |
Cigna Setting Professional Modifier RR · Rental Typical Low $1.05 Median $1.05 Typical High $1.05 | Professional | RR · Rental | $1.05 | $1.05 | $1.05 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | UE · Used equipment | $7.76 | $7.76 | $7.76 |
Moda Health Setting Facility Modifier None Typical Low $7.94 Median $16.22 Typical High $25.70 | Facility | None | $7.94 | $16.22 | $25.70 |
Moda Health Setting Professional Modifier None Typical Low $10.47 Median $13.18 Typical High $19.50 | Professional | None | $10.47 | $13.18 | $19.50 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $1.20 Median $1.20 Typical High $2.29 | Professional | RR · Rental | $1.20 | $1.20 | $2.29 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $8.32 Median $10.00 Typical High $14.45 | Professional | UE · Used equipment | $8.32 | $10.00 | $14.45 |
Molina Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $81.28 | Professional | None | $20.42 | $20.42 | $81.28 |
Providence Setting Facility Modifier None Typical Low $12.59 Median $14.45 Typical High $25.70 | Facility | None | $12.59 | $14.45 | $25.70 |
Providence Setting Professional Modifier None Typical Low $12.30 Median $14.45 Typical High $14.45 | Professional | None | $12.30 | $14.45 | $14.45 |
Providence Setting Professional Modifier RR · Rental Typical Low $1.05 Median $1.05 Typical High $1.05 | Professional | RR · Rental | $1.05 | $1.05 | $1.05 |
Providence Setting Professional Modifier UE · Used equipment Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | UE · Used equipment | $7.76 | $7.76 | $7.76 |
United Setting Professional Modifier None Typical Low $8.32 Median $11.22 Typical High $13.80 | Professional | None | $8.32 | $11.22 | $13.80 |
United Setting Professional Modifier RR · Rental Typical Low $0.83 Median $1.10 Typical High $1.38 | Professional | RR · Rental | $0.83 | $1.10 | $1.38 |
United Setting Professional Modifier UE · Used equipment Typical Low $6.31 Median $8.32 Typical High $10.23 | Professional | UE · Used equipment | $6.31 | $8.32 | $10.23 |
Wellpoint Setting Professional Modifier None Typical Low $15.85 Median $17.78 Typical High $17.78 | Professional | None | $15.85 | $17.78 | $17.78 |
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 $1.20 Median $1.20 Typical High $1.20 | Professional | MS · Maintenance fee | $1.20 | $1.20 | $1.20 |
Where Texas sits
The same service costs 2.2 times more in Hawaii than in Illinois. 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· 43rd of 51
$13.80
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.