How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier RR · Rental Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | RR · Rental | $60.26 | $60.26 | $60.26 |
Ambetter Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $851.14 Median $870.96 Typical High $1,148.15 | Professional | None | $851.14 | $870.96 | $1,148.15 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $114.82 Median $190.55 Typical High $281.84 | Professional | RR · Rental | $114.82 | $190.55 | $281.84 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $660.69 Median $851.14 Typical High $851.14 | Professional | UE · Used equipment | $660.69 | $851.14 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,202.26 | Facility | None | $1,148.15 | $1,148.15 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $977.24 Typical High $977.24 | Professional | None | $831.76 | $977.24 | $977.24 |
Cigna Setting Professional Modifier RR · Rental Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | RR · Rental | $97.72 | $97.72 | $97.72 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $602.56 Typical High $1,698.24 | Facility | None | $100.00 | $602.56 | $1,698.24 |
Medica Setting Professional Modifier None Typical Low $257.04 Median $398.11 Typical High $467.74 | Professional | None | $257.04 | $398.11 | $467.74 |
Medica Setting Professional Modifier RR · Rental Typical Low $34.67 Median $39.81 Typical High $46.77 | Professional | RR · Rental | $34.67 | $39.81 | $46.77 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $263.03 Median $295.12 Typical High $346.74 | Professional | UE · Used equipment | $263.03 | $295.12 | $346.74 |
United Setting Professional Modifier None Typical Low $346.74 Median $398.11 Typical High $467.74 | Professional | None | $346.74 | $398.11 | $467.74 |
United Setting Professional Modifier RR · Rental Typical Low $34.67 Median $39.81 Typical High $46.77 | Professional | RR · Rental | $34.67 | $39.81 | $46.77 |
United Setting Professional Modifier UE · Used equipment Typical Low $263.03 Median $295.12 Typical High $346.74 | Professional | UE · Used equipment | $263.03 | $295.12 | $346.74 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | MS · Maintenance fee | $60.26 | $60.26 | $60.26 |
Where Missouri sits
The same service costs 51.3 times more in Minnesota than in Nebraska. 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· 12th of 51
$851
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.