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 $549.54 Median $549.54 Typical High $707.95 | Facility | None | $549.54 | $549.54 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $691.83 Typical High $812.83 | Professional | None | $512.86 | $691.83 | $812.83 |
Aetna Setting Professional Modifier RR · Rental Typical Low $89.13 Median $89.13 Typical High $93.33 | Professional | RR · Rental | $89.13 | $89.13 | $93.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $154.88 Typical High $707.95 | Professional | None | $125.89 | $154.88 | $707.95 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $70.79 Median $112.20 Typical High $141.25 | Professional | RR · Rental | $70.79 | $112.20 | $141.25 |
CareSource Setting Facility Modifier None Typical Low $63.10 Median $95.50 Typical High $141.25 | Facility | None | $63.10 | $95.50 | $141.25 |
CareSource Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $162.18 | Professional | None | $97.72 | $117.49 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $45.71 Typical High $64.57 | Facility | None | $9.77 | $45.71 | $64.57 |
Cigna Setting Facility Modifier RR · Rental Typical Low $33.88 Median $138.04 Typical High $223.87 | Facility | RR · Rental | $33.88 | $138.04 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $190.55 | Professional | None | $72.44 | $72.44 | $190.55 |
Cigna Setting Professional Modifier RR · Rental Typical Low $57.54 Median $57.54 Typical High $501.19 | Professional | RR · Rental | $57.54 | $57.54 | $501.19 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $95.50 Typical High $724.44 | Professional | None | $91.20 | $95.50 | $724.44 |
United Setting Professional Modifier None Typical Low $40.74 Median $104.71 Typical High $158.49 | Professional | None | $40.74 | $104.71 | $158.49 |
United Setting Professional Modifier RR · Rental Typical Low $51.29 Median $104.71 Typical High $147.91 | Professional | RR · Rental | $51.29 | $104.71 | $147.91 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier UE · Used equipment Typical Low $389.05 Median $512.86 Typical High $616.60 | Professional | UE · Used equipment | $389.05 | $512.86 | $616.60 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | UE · Used equipment | $524.81 | $524.81 | $524.81 |
Where Kentucky sits
The same service costs 22.4 times more in Alaska than in Oklahoma. 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.
Kentucky· 37th of 51
$170
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.