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 $8.91 Median $10.47 Typical High $12.30 | Facility | None | $8.91 | $10.47 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $10.96 Typical High $15.14 | Professional | None | $8.91 | $10.96 | $15.14 |
Aetna Setting Professional Modifier RR · Rental Typical Low $0.78 Median $1.05 Typical High $1.05 | Professional | RR · Rental | $0.78 | $1.05 | $1.05 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $6.61 Median $8.13 Typical High $10.47 | Professional | UE · Used equipment | $6.61 | $8.13 | $10.47 |
AvMed Setting Professional Modifier None Typical Low $17.78 Median $23.99 Typical High $23.99 | Professional | None | $17.78 | $23.99 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $19.95 | Facility | None | $15.14 | $15.14 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $15.14 Typical High $18.20 | Professional | None | $12.88 | $15.14 | $18.20 |
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 |
Florida Blue Setting Professional Modifier None Typical Low $20.42 Median $23.99 Typical High $23.99 | Professional | None | $20.42 | $23.99 | $23.99 |
Florida Blue Setting Professional Modifier RR · Rental Typical Low $2.04 Median $2.40 Typical High $2.40 | Professional | RR · Rental | $2.04 | $2.40 | $2.40 |
Florida Blue Setting Professional Modifier UE · Used equipment Typical Low $15.49 Median $18.20 Typical High $18.20 | Professional | UE · Used equipment | $15.49 | $18.20 | $18.20 |
Molina Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
United Setting Professional Modifier None Typical Low $7.76 Median $11.48 Typical High $19.50 | Professional | None | $7.76 | $11.48 | $19.50 |
United Setting Professional Modifier RR · Rental Typical Low $0.78 Median $1.15 Typical High $1.66 | Professional | RR · Rental | $0.78 | $1.15 | $1.66 |
United Setting Professional Modifier UE · Used equipment Typical Low $5.89 Median $8.71 Typical High $12.59 | Professional | UE · Used equipment | $5.89 | $8.71 | $12.59 |
Wellpoint Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
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 $1.05 Median $1.05 Typical High $1.05 | Professional | MS · Maintenance fee | $1.05 | $1.05 | $1.05 |
Where Florida 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.
Florida· 41st of 51
$15.14
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.