How much rates vary
Facilitymedian $56 · 10th to 90th $31 to $117Professionalmedian $30 · 10th to 90th $4 to $54
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 $25.12 Median $26.92 Typical High $39.81 | Facility | None | $25.12 | $26.92 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $26.92 Typical High $39.81 | Professional | None | $23.44 | $26.92 | $39.81 |
Aetna Setting Professional Modifier RR · Rental Typical Low $2.34 Median $2.69 Typical High $3.98 | Professional | RR · Rental | $2.34 | $2.69 | $3.98 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $19.95 Typical High $30.20 | Professional | UE · Used equipment | $17.38 | $19.95 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $38.02 Median $47.86 Typical High $51.29 | Professional | None | $38.02 | $47.86 | $51.29 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $3.39 Median $3.39 Typical High $4.79 | Professional | RR · Rental | $3.39 | $3.39 | $4.79 |
BCBS Texas Setting Facility Modifier None Typical Low $58.88 Median $95.50 Typical High $208.93 | Facility | None | $58.88 | $95.50 | $208.93 |
BCBS Texas Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | None | $4.07 | $4.07 | $4.07 |
Baylor Scott & White Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Christus Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Christus Setting Facility Modifier RR · Rental Typical Low $4.57 Median $4.57 Typical High $7.59 | Facility | RR · Rental | $4.57 | $4.57 | $7.59 |
Christus Setting Facility Modifier UE · Used equipment Typical Low $33.88 Median $33.88 Typical High $56.23 | Facility | UE · Used equipment | $33.88 | $33.88 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $40.74 | Facility | None | $30.90 | $30.90 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $30.90 Typical High $40.74 | Professional | None | $26.30 | $30.90 | $40.74 |
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 |
Moda Health Setting Facility Modifier None Typical Low $23.44 Median $47.86 Typical High $75.86 | Facility | None | $23.44 | $47.86 | $75.86 |
Moda Health Setting Professional Modifier None Typical Low $23.44 Median $26.92 Typical High $42.66 | Professional | None | $23.44 | $26.92 | $42.66 |
Moda Health Setting Professional Modifier RR · Rental Typical Low $2.34 Median $2.57 Typical High $3.98 | Professional | RR · Rental | $2.34 | $2.57 | $3.98 |
Moda Health Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $19.95 Typical High $30.20 | Professional | UE · Used equipment | $17.38 | $19.95 | $30.20 |
Molina Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $81.28 | Professional | None | $53.70 | $53.70 | $81.28 |
Providence Setting Facility Modifier None Typical Low $30.90 Median $36.31 Typical High $75.86 | Facility | None | $30.90 | $36.31 | $75.86 |
Providence Setting Professional Modifier None Typical Low $26.30 Median $30.90 Typical High $40.74 | Professional | None | $26.30 | $30.90 | $40.74 |
Providence 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 |
Providence 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 |
United Setting Professional Modifier None Typical Low $20.89 Median $28.84 Typical High $39.81 | Professional | None | $20.89 | $28.84 | $39.81 |
United Setting Professional Modifier RR · Rental Typical Low $2.09 Median $2.88 Typical High $3.98 | Professional | RR · Rental | $2.09 | $2.88 | $3.98 |
United Setting Professional Modifier UE · Used equipment Typical Low $15.85 Median $21.38 Typical High $30.20 | Professional | UE · Used equipment | $15.85 | $21.38 | $30.20 |
Wellpoint Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
2 more rates 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 $2.69 Median $2.69 Typical High $3.98 | Professional | MS · Maintenance fee | $2.69 | $2.69 | $3.98 |
Moda Health Setting Professional Modifier MS · Maintenance fee Typical Low $2.69 Median $2.69 Typical High $3.98 | Professional | MS · Maintenance fee | $2.69 | $2.69 | $3.98 |
Where Texas 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.
Texas· 24th of 51
$39.81
KS $74.13IL $26.30
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.