How much rates vary
Facilitymedian $100 · 10th to 90th $44 to $251Professionalmedian $52 · 10th to 90th $7 to $69
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 $61.66 Median $61.66 Typical High $66.07 | Facility | None | $61.66 | $61.66 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $63.10 Typical High $177.83 | Professional | None | $51.29 | $63.10 | $177.83 |
Aetna Setting Professional Modifier RR · Rental Typical Low $3.98 Median $6.17 Typical High $12.02 | Professional | RR · Rental | $3.98 | $6.17 | $12.02 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $42.66 Median $46.77 Typical High $154.88 | Professional | UE · Used equipment | $42.66 | $46.77 | $154.88 |
BCBS Setting Facility Modifier None Typical Low $81.28 Median $199.53 Typical High $371.54 | Facility | None | $81.28 | $199.53 | $371.54 |
BCBS Setting Professional Modifier None Typical Low $47.86 Median $63.10 Typical High $67.61 | Professional | None | $47.86 | $63.10 | $67.61 |
BCBS Setting Professional Modifier UE · Used equipment Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | UE · Used equipment | $50.12 | $50.12 | $50.12 |
CareSource Setting Facility Modifier None Typical Low $4.37 Median $33.11 Typical High $44.67 | Facility | None | $4.37 | $33.11 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $52.48 | Professional | None | $44.67 | $44.67 | $52.48 |
Health Alliance Plan Setting Facility Modifier None Typical Low $13.18 Median $100.00 Typical High $144.54 | Facility | None | $13.18 | $100.00 | $144.54 |
Health Alliance Plan Setting Facility Modifier RR · Rental Typical Low $9.33 Median $10.96 Typical High $14.45 | Facility | RR · Rental | $9.33 | $10.96 | $14.45 |
Health Alliance Plan Setting Facility Modifier UE · Used equipment Typical Low $38.02 Median $81.28 Typical High $109.65 | Facility | UE · Used equipment | $38.02 | $81.28 | $109.65 |
Health Alliance Plan Setting Professional Modifier None Typical Low $6.76 Median $52.48 Typical High $69.18 | Professional | None | $6.76 | $52.48 | $69.18 |
Health Alliance Plan Setting Professional Modifier RR · Rental Typical Low $3.98 Median $5.75 Typical High $7.08 | Professional | RR · Rental | $3.98 | $5.75 | $7.08 |
Health Alliance Plan Setting Professional Modifier UE · Used equipment Typical Low $35.48 Median $41.69 Typical High $52.48 | Professional | UE · Used equipment | $35.48 | $41.69 | $52.48 |
Priority Health Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Priority Health Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $52.48 | Professional | None | $44.67 | $44.67 | $52.48 |
United Setting Professional Modifier None Typical Low $23.44 Median $32.36 Typical High $47.86 | Professional | None | $23.44 | $32.36 | $47.86 |
United Setting Professional Modifier RR · Rental Typical Low $2.45 Median $3.39 Typical High $4.90 | Professional | RR · Rental | $2.45 | $3.39 | $4.90 |
United Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $24.55 Typical High $35.48 | Professional | UE · Used equipment | $18.20 | $24.55 | $35.48 |
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 $6.17 Median $6.17 Typical High $6.17 | Professional | MS · Maintenance fee | $6.17 | $6.17 | $6.17 |
Where Michigan sits
The same service costs 3.8 times more in Hawaii 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.
Michigan· 16th of 51
$52.48
HI $123IL $32.36
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.