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 $0.41 Median $0.95 Typical High $0.95 | Facility | None | $0.41 | $0.95 | $0.95 |
Aetna Setting Professional Modifier None Typical Low $0.41 Median $0.58 Typical High $0.95 | Professional | None | $0.41 | $0.58 | $0.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.62 Median $0.65 Typical High $0.79 | Professional | None | $0.62 | $0.65 | $0.79 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.44 Median $0.47 Typical High $0.71 | Professional | UE · Used equipment | $0.44 | $0.47 | $0.71 |
BCBS Kansas City Setting Professional Modifier None Typical Low $0.58 Median $0.58 Typical High $0.98 | Professional | None | $0.58 | $0.58 | $0.98 |
Cigna Setting Facility Modifier None Typical Low $0.58 Median $0.58 Typical High $0.71 | Facility | None | $0.58 | $0.58 | $0.71 |
Cigna Setting Professional Modifier None Typical Low $0.49 Median $0.49 Typical High $0.58 | Professional | None | $0.49 | $0.49 | $0.58 |
Medica Setting Facility Modifier None Typical Low $0.48 Median $0.95 Typical High $79.43 | Facility | None | $0.48 | $0.95 | $79.43 |
Medica Setting Professional Modifier None Typical Low $0.34 Median $0.48 Typical High $4.68 | Professional | None | $0.34 | $0.48 | $4.68 |
United Setting Professional Modifier None Typical Low $0.32 Median $0.48 Typical High $0.72 | Professional | None | $0.32 | $0.48 | $0.72 |
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 $0.06 Median $0.06 Typical High $0.07 | Professional | RR · Rental | $0.06 | $0.06 | $0.07 |
Where Missouri sits
The same service costs 9.5 times more in Kansas than in Alabama. 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· 30th of 51
$0.62
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.