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 $223.87 Median $346.74 Typical High $346.74 | Facility | None | $223.87 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $346.74 Typical High $416.87 | Professional | None | $223.87 | $346.74 | $416.87 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $36.31 Median $38.90 Typical High $38.90 | Professional | RR · Rental | $36.31 | $38.90 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $302.00 | Professional | None | $35.48 | $35.48 | $302.00 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $30.20 Median $33.88 Typical High $42.66 | Professional | RR · Rental | $30.20 | $33.88 | $42.66 |
BCBS Kansas City Setting Professional Modifier None Typical Low $23.44 Median $25.12 Typical High $29.51 | Professional | None | $23.44 | $25.12 | $29.51 |
BCBS Kansas City Setting Professional Modifier RR · Rental Typical Low $29.51 Median $30.20 Typical High $30.20 | Professional | RR · Rental | $29.51 | $30.20 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | RR · Rental | $29.51 | $29.51 | $29.51 |
Medica Setting Facility Modifier None Typical Low $39.81 Median $223.87 Typical High $5,248.07 | Facility | None | $39.81 | $223.87 | $5,248.07 |
Medica Setting Facility Modifier RR · Rental Typical Low $91.20 Median $660.69 Typical High $660.69 | Facility | RR · Rental | $91.20 | $660.69 | $660.69 |
Medica Setting Professional Modifier None Typical Low $19.50 Median $28.84 Typical High $51.29 | Professional | None | $19.50 | $28.84 | $51.29 |
Medica Setting Professional Modifier RR · Rental Typical Low $22.91 Median $70.79 Typical High $245.47 | Professional | RR · Rental | $22.91 | $70.79 | $245.47 |
United Setting Professional Modifier None Typical Low $17.38 Median $28.18 Typical High $51.29 | Professional | None | $17.38 | $28.18 | $51.29 |
United Setting Professional Modifier RR · Rental Typical Low $19.50 Median $30.90 Typical High $39.81 | Professional | RR · Rental | $19.50 | $30.90 | $39.81 |
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 $169.82 Median $263.03 Typical High $309.03 | Professional | UE · Used equipment | $169.82 | $263.03 | $309.03 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $21.38 Median $43.65 Typical High $281.84 | Professional | UE · Used equipment | $21.38 | $43.65 | $281.84 |
Where Missouri sits
The same service costs 36.3 times more in Vermont than in Hawaii. 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· 39th of 51
$204
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.