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 $7.76 Median $11.22 Typical High $14.79 | Facility | None | $7.76 | $11.22 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $12.59 Typical High $14.79 | Professional | None | $7.76 | $12.59 | $14.79 |
Aetna Setting Professional Modifier RR · Rental Typical Low $1.12 Median $1.48 Typical High $1.48 | Professional | RR · Rental | $1.12 | $1.48 | $1.48 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $5.75 Median $9.55 Typical High $10.96 | Professional | UE · Used equipment | $5.75 | $9.55 | $10.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.75 Median $14.45 Typical High $14.79 | Professional | None | $11.75 | $14.45 | $14.79 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.17 Median $1.45 Typical High $1.48 | Professional | RR · Rental | $1.17 | $1.45 | $1.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $10.96 Median $10.96 Typical High $14.79 | Professional | UE · Used equipment | $10.96 | $10.96 | $14.79 |
CareSource Setting Facility Modifier None Typical Low $1.82 Median $15.14 Typical High $28.84 | Facility | None | $1.82 | $15.14 | $28.84 |
CareSource Setting Professional Modifier None Typical Low $2.69 Median $19.95 Typical High $28.84 | Professional | None | $2.69 | $19.95 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $4.17 Median $17.38 Typical High $27.54 | Facility | None | $4.17 | $17.38 | $27.54 |
Cigna Setting Facility Modifier RR · Rental Typical Low $0.42 Median $1.95 Typical High $2.82 | Facility | RR · Rental | $0.42 | $1.95 | $2.82 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $13.18 Typical High $16.22 | Professional | None | $11.22 | $13.18 | $16.22 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.83 Median $1.62 Typical High $1.62 | Professional | RR · Rental | $0.83 | $1.62 | $1.62 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $6.31 Median $12.30 Typical High $12.30 | Professional | UE · Used equipment | $6.31 | $12.30 | $12.30 |
Molina Setting Professional Modifier None Typical Low $12.30 Median $15.14 Typical High $15.85 | Professional | None | $12.30 | $15.14 | $15.85 |
United Setting Professional Modifier None Typical Low $6.61 Median $10.47 Typical High $15.49 | Professional | None | $6.61 | $10.47 | $15.49 |
United Setting Professional Modifier RR · Rental Typical Low $0.66 Median $1.05 Typical High $1.62 | Professional | RR · Rental | $0.66 | $1.05 | $1.62 |
United Setting Professional Modifier UE · Used equipment Typical Low $5.01 Median $7.76 Typical High $12.30 | Professional | UE · Used equipment | $5.01 | $7.76 | $12.30 |
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 $1.12 Median $1.48 Typical High $1.48 | Professional | MS · Maintenance fee | $1.12 | $1.48 | $1.48 |
Where Kentucky sits
The same service costs 2.7 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.
Kentucky· 29th of 51
$14.13
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.