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 $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $29.51 | Professional | None | $23.99 | $23.99 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $34.67 | Facility | None | $33.11 | $33.11 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $33.11 | Professional | None | $23.99 | $23.99 | $33.11 |
Medica Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $100.00 | Facility | None | $25.12 | $25.12 | $100.00 |
Medica Setting Professional Modifier None Typical Low $25.12 Median $79.43 Typical High $79.43 | Professional | None | $25.12 | $79.43 | $79.43 |
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 UE · Used equipment Typical Low $18.20 Median $21.38 Typical High $22.39 | Professional | UE · Used equipment | $18.20 | $21.38 | $22.39 |
Where Missouri sits
The same service costs 380.2 times more in New York than in South Dakota. 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· 34th of 51
$23.99
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.