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 $26.92 Median $33.88 Typical High $45.71 | Facility | None | $26.92 | $33.88 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $26.92 Typical High $38.02 | Professional | None | $23.44 | $26.92 | $38.02 |
Aetna Setting Professional Modifier RR · Rental Typical Low $2.34 Median $2.34 Typical High $2.69 | Professional | RR · Rental | $2.34 | $2.34 | $2.69 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $19.95 Typical High $28.18 | Professional | UE · Used equipment | $17.38 | $19.95 | $28.18 |
Ambetter Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $37.15 Median $42.66 Typical High $52.48 | Professional | None | $37.15 | $42.66 | $52.48 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.80 Median $4.27 Typical High $5.25 | Professional | RR · Rental | $3.80 | $4.27 | $5.25 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $25.12 Median $28.18 Typical High $38.90 | Professional | UE · Used equipment | $25.12 | $28.18 | $38.90 |
CareSource Setting Facility Modifier None Typical Low $4.79 Median $36.31 Typical High $74.13 | Facility | None | $4.79 | $36.31 | $74.13 |
CareSource Setting Professional Modifier None Typical Low $6.46 Median $52.48 Typical High $89.13 | Professional | None | $6.46 | $52.48 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $41.69 Typical High $74.13 | Facility | None | $11.22 | $41.69 | $74.13 |
Cigna Setting Facility Modifier RR · Rental Typical Low $1.35 Median $4.68 Typical High $6.76 | Facility | RR · Rental | $1.35 | $4.68 | $6.76 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $33.11 Typical High $41.69 | Professional | None | $26.30 | $33.11 | $41.69 |
Cigna Setting Professional Modifier RR · Rental Typical Low $3.09 Median $3.98 Typical High $4.17 | Professional | RR · Rental | $3.09 | $3.98 | $4.17 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $22.91 Median $29.51 Typical High $29.51 | Professional | UE · Used equipment | $22.91 | $29.51 | $29.51 |
Molina Setting Professional Modifier None Typical Low $33.88 Median $100.00 Typical High $100.00 | Professional | None | $33.88 | $100.00 | $100.00 |
United Setting Professional Modifier None Typical Low $19.50 Median $33.88 Typical High $44.67 | Professional | None | $19.50 | $33.88 | $44.67 |
United Setting Professional Modifier RR · Rental Typical Low $1.95 Median $3.55 Typical High $4.57 | Professional | RR · Rental | $1.95 | $3.55 | $4.57 |
United Setting Professional Modifier UE · Used equipment Typical Low $14.79 Median $26.92 Typical High $34.67 | Professional | UE · Used equipment | $14.79 | $26.92 | $34.67 |
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 $2.63 Median $2.69 Typical High $2.69 | Professional | MS · Maintenance fee | $2.63 | $2.69 | $2.69 |
Where Kentucky 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.
Kentucky· 29th of 51
$38.02
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.