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 $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $44.67 Median $446.68 Typical High $446.68 | Professional | MS · Maintenance fee | $44.67 | $446.68 | $446.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $50.12 Median $741.31 Typical High $741.31 | Professional | None | $50.12 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $3.89 Median $50.12 Typical High $50.12 | Professional | None | $3.89 | $50.12 | $50.12 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $467.74 | Facility | None | $100.00 | $100.00 | $467.74 |
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 RR · Rental Typical Low $44.67 Median $44.67 Typical High $446.68 | Professional | RR · Rental | $44.67 | $44.67 | $446.68 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $363.08 Median $363.08 Typical High $446.68 | Professional | UE · Used equipment | $363.08 | $363.08 | $446.68 |
Where Missouri sits
The same service costs 14.8 times more in North Dakota than in Missouri. 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· 51st of 51
$50.12
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.