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 $23.44 Median $33.88 Typical High $41.69 | Professional | None | $23.44 | $33.88 | $41.69 |
Aetna Setting Professional Modifier RR · Rental Typical Low $2.34 Median $3.39 Typical High $3.39 | Professional | RR · Rental | $2.34 | $3.39 | $3.39 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $25.12 Typical High $28.18 | Professional | UE · Used equipment | $17.38 | $25.12 | $28.18 |
Ambetter Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $40.74 | Professional | None | $38.02 | $38.02 | $40.74 |
BCBS Arizona Setting Facility Modifier None Typical Low $1.41 Median $6.31 Typical High $9.55 | Facility | None | $1.41 | $6.31 | $9.55 |
BCBS Arizona Setting Professional Modifier None Typical Low $27.54 Median $36.31 Typical High $45.71 | Professional | None | $27.54 | $36.31 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $38.02 | Professional | None | $26.30 | $26.30 | $38.02 |
Cigna Setting Professional Modifier RR · Rental Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | RR · Rental | $3.09 | $3.09 | $3.09 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | UE · Used equipment | $22.91 | $22.91 | $22.91 |
Medica Setting Facility Modifier None Typical Low $29.51 Median $74.13 Typical High $223.87 | Facility | None | $29.51 | $74.13 | $223.87 |
Medica Setting Facility Modifier RR · Rental Typical Low $9.55 Median $79.43 Typical High $79.43 | Facility | RR · Rental | $9.55 | $79.43 | $79.43 |
Medica Setting Professional Modifier None Typical Low $23.44 Median $28.84 Typical High $52.48 | Professional | None | $23.44 | $28.84 | $52.48 |
Medica Setting Professional Modifier RR · Rental Typical Low $2.34 Median $2.88 Typical High $5.25 | Professional | RR · Rental | $2.34 | $2.88 | $5.25 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $21.38 Typical High $38.90 | Professional | UE · Used equipment | $17.38 | $21.38 | $38.90 |
United Setting Professional Modifier None Typical Low $23.44 Median $28.84 Typical High $52.48 | Professional | None | $23.44 | $28.84 | $52.48 |
United Setting Professional Modifier RR · Rental Typical Low $2.51 Median $2.88 Typical High $5.25 | Professional | RR · Rental | $2.51 | $2.88 | $5.25 |
United Setting Professional Modifier UE · Used equipment Typical Low $18.62 Median $21.38 Typical High $38.90 | Professional | UE · Used equipment | $18.62 | $21.38 | $38.90 |
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 $3.39 Median $3.39 Typical High $3.39 | Professional | MS · Maintenance fee | $3.39 | $3.39 | $3.39 |
Where Arizona sits
The same service costs 2.8 times more in Kansas 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.
Arizona· 47th of 51
$30.90
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.