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 $0.44 Median $1.02 Typical High $1.55 | Facility | None | $0.44 | $1.02 | $1.55 |
Aetna Setting Professional Modifier None Typical Low $0.44 Median $0.72 Typical High $1.02 | Professional | None | $0.44 | $0.72 | $1.02 |
Ambetter Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.50 Median $0.50 Typical High $1.00 | Professional | None | $0.50 | $0.50 | $1.00 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.37 Median $0.50 Typical High $0.71 | Professional | UE · Used equipment | $0.37 | $0.50 | $0.71 |
BCBS Kansas City Setting Professional Modifier None Typical Low $0.62 Median $0.62 Typical High $1.05 | Professional | None | $0.62 | $0.62 | $1.05 |
Cigna Setting Facility Modifier None Typical Low $0.62 Median $0.62 Typical High $0.76 | Facility | None | $0.62 | $0.62 | $0.76 |
Cigna Setting Professional Modifier None Typical Low $0.52 Median $0.52 Typical High $0.52 | Professional | None | $0.52 | $0.52 | $0.52 |
Medica Setting Facility Modifier None Typical Low $0.54 Median $1.02 Typical High $89.13 | Facility | None | $0.54 | $1.02 | $89.13 |
Medica Setting Professional Modifier None Typical Low $0.43 Median $1.23 Typical High $12.02 | Professional | None | $0.43 | $1.23 | $12.02 |
United Setting Professional Modifier None Typical Low $0.34 Median $0.46 Typical High $0.81 | Professional | None | $0.34 | $0.46 | $0.81 |
2 more rates 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier KX · Policy requirements met Typical Low $74.13 Median $74.13 Typical High $87.10 | Professional | KX · Policy requirements met | $74.13 | $74.13 | $87.10 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.07 Median $0.07 Typical High $0.50 | Professional | RR · Rental | $0.07 | $0.07 | $0.50 |
Where Missouri sits
The same service costs 2.7 times more in Kansas than in Connecticut. 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· 48th of 51
$0.52
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.