How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $112.20 Median $263.03 Typical High $263.03 | Facility | None | $112.20 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $162.18 Typical High $263.03 | Professional | None | $112.20 | $162.18 | $263.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $316.23 | Professional | None | $204.17 | $239.88 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $524.81 Typical High $1,445.44 | Facility | None | $144.54 | $524.81 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $120.23 Median $204.17 Typical High $1,412.54 | Professional | None | $120.23 | $204.17 | $1,412.54 |
United Setting Professional Modifier None Typical Low $104.71 Median $144.54 Typical High $263.03 | Professional | None | $104.71 | $144.54 | $263.03 |
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 |
|---|---|---|---|---|---|
BCBS Kansas City Setting Professional Modifier KF · Class III device Typical Low $169.82 Median $169.82 Typical High $281.84 | Professional | KF · Class III device | $169.82 | $169.82 | $281.84 |
Where Missouri sits
The same service costs 2.1 times more in Montana than in Hawaii. 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.
Missouri· 12th of 51
$240
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.