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 $13.18 Median $17.38 Typical High $17.38 | Professional | None | $13.18 | $17.38 | $17.38 |
Aetna Setting Professional Modifier RR · Rental Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | RR · Rental | $1.78 | $1.78 | $1.78 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $10.00 Median $13.18 Typical High $13.18 | Professional | UE · Used equipment | $10.00 | $13.18 | $13.18 |
BCBS Arizona Setting Facility Modifier None Typical Low $0.72 Median $3.31 Typical High $5.01 | Facility | None | $0.72 | $3.31 | $5.01 |
BCBS Arizona Setting Professional Modifier None Typical Low $14.13 Median $19.05 Typical High $23.44 | Professional | None | $14.13 | $19.05 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $15.14 | Professional | None | $12.88 | $12.88 | $15.14 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.98 Median $0.98 Typical High $0.98 | Professional | RR · Rental | $0.98 | $0.98 | $0.98 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | UE · Used equipment | $7.41 | $7.41 | $7.41 |
Medica Setting Facility Modifier None Typical Low $11.48 Median $22.91 Typical High $109.65 | Facility | None | $11.48 | $22.91 | $109.65 |
Medica Setting Facility Modifier RR · Rental Typical Low $4.79 Median $79.43 Typical High $79.43 | Facility | RR · Rental | $4.79 | $79.43 | $79.43 |
Medica Setting Professional Modifier None Typical Low $7.59 Median $11.48 Typical High $16.60 | Professional | None | $7.59 | $11.48 | $16.60 |
Medica Setting Professional Modifier RR · Rental Typical Low $0.81 Median $1.15 Typical High $1.66 | Professional | RR · Rental | $0.81 | $1.15 | $1.66 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $6.03 Median $8.51 Typical High $12.59 | Professional | UE · Used equipment | $6.03 | $8.51 | $12.59 |
United Setting Professional Modifier None Typical Low $8.91 Median $11.48 Typical High $16.60 | Professional | None | $8.91 | $11.48 | $16.60 |
United Setting Professional Modifier RR · Rental Typical Low $0.89 Median $1.15 Typical High $1.66 | Professional | RR · Rental | $0.89 | $1.15 | $1.66 |
United Setting Professional Modifier UE · Used equipment Typical Low $6.76 Median $8.51 Typical High $12.59 | Professional | UE · Used equipment | $6.76 | $8.51 | $12.59 |
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 $1.78 Median $1.78 Typical High $1.78 | Professional | MS · Maintenance fee | $1.78 | $1.78 | $1.78 |
Where Arizona sits
The same service costs 2.3 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· 48th of 51
$12.88
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.