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 $1.86 Median $4.37 Typical High $4.37 | Facility | None | $1.86 | $4.37 | $4.37 |
Aetna Setting Professional Modifier None Typical Low $1.86 Median $4.27 Typical High $4.68 | Professional | None | $1.86 | $4.27 | $4.68 |
Ambetter Setting Professional Modifier None Typical Low $2.63 Median $4.47 Typical High $6.03 | Professional | None | $2.63 | $4.47 | $6.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.14 Median $3.63 Typical High $8.32 | Professional | None | $2.14 | $3.63 | $8.32 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.58 Median $1.66 Typical High $3.09 | Professional | UE · Used equipment | $1.58 | $1.66 | $3.09 |
BCBS Kansas City Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | None | $2.63 | $2.63 | $2.63 |
Cigna Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
Cigna Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | None | $1.82 | $1.82 | $1.82 |
Medica Setting Facility Modifier None Typical Low $2.29 Median $4.37 Typical High $89.13 | Facility | None | $2.29 | $4.37 | $89.13 |
Medica Setting Professional Modifier None Typical Low $1.51 Median $5.25 Typical High $44.67 | Professional | None | $1.51 | $5.25 | $44.67 |
United Setting Professional Modifier None Typical Low $1.45 Median $2.00 Typical High $3.47 | Professional | None | $1.45 | $2.00 | $3.47 |
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 $0.30 | Professional | RR · Rental | $0.21 | $0.21 | $0.30 |
Where Missouri sits
The same service costs 2.6 times more in Hawaii than in California. 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· 29th of 51
$2.63
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.