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 $0.22 Median $0.51 Typical High $0.51 | Facility | None | $0.22 | $0.51 | $0.51 |
Aetna Setting Professional Modifier None Typical Low $0.22 Median $0.31 Typical High $0.51 | Professional | None | $0.22 | $0.31 | $0.51 |
Ambetter Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.21 Median $0.36 Typical High $0.46 | Professional | None | $0.21 | $0.36 | $0.46 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.16 Median $0.24 Typical High $0.38 | Professional | UE · Used equipment | $0.16 | $0.24 | $0.38 |
BCBS Kansas City Setting Professional Modifier None Typical Low $0.31 Median $0.31 Typical High $0.52 | Professional | None | $0.31 | $0.31 | $0.52 |
Cigna Setting Facility Modifier None Typical Low $0.31 Median $0.31 Typical High $0.39 | Facility | None | $0.31 | $0.31 | $0.39 |
Cigna Setting Professional Modifier None Typical Low $0.26 Median $0.26 Typical High $0.31 | Professional | None | $0.26 | $0.26 | $0.31 |
Medica Setting Facility Modifier None Typical Low $0.27 Median $0.54 Typical High $79.43 | Facility | None | $0.27 | $0.54 | $79.43 |
Medica Setting Professional Modifier None Typical Low $0.19 Median $0.26 Typical High $3.55 | Professional | None | $0.19 | $0.26 | $3.55 |
United Setting Professional Modifier None Typical Low $0.17 Median $0.26 Typical High $0.38 | Professional | None | $0.17 | $0.26 | $0.38 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.21 Median $0.21 Typical High $0.21 | Professional | RR · Rental | $0.21 | $0.21 | $0.21 |
Where Missouri sits
The same service costs 17.0 times more in Kansas than in New Hampshire. 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· 38th of 51
$0.26
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.