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 $169.82 Median $169.82 Typical High $194.98 | Facility | None | $169.82 | $169.82 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $181.97 Typical High $213.80 | Professional | None | $169.82 | $181.97 | $213.80 |
Ambetter Setting Professional Modifier None Typical Low $251.19 Median $288.40 Typical High $288.40 | Professional | None | $251.19 | $288.40 | $288.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $1,548.82 | Facility | None | $331.13 | $331.13 | $1,548.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $181.97 Median $204.17 Typical High $269.15 | Professional | None | $181.97 | $204.17 | $269.15 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $134.90 Median $141.25 Typical High $229.09 | Professional | UE · Used equipment | $134.90 | $141.25 | $229.09 |
BCBS Kansas City Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $331.13 | Professional | None | $199.53 | $199.53 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $245.47 | Facility | None | $218.78 | $218.78 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $218.78 | Professional | None | $158.49 | $158.49 | $218.78 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $323.59 Typical High $1,621.81 | Facility | None | $169.82 | $323.59 | $1,621.81 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $162.18 Typical High $2,187.76 | Professional | None | $128.82 | $162.18 | $2,187.76 |
United Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $416.87 | Facility | None | $204.17 | $204.17 | $416.87 |
United Setting Professional Modifier None Typical Low $120.23 Median $162.18 Typical High $239.88 | Professional | None | $120.23 | $162.18 | $239.88 |
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 $18.62 Median $18.62 Typical High $190.55 | Professional | RR · Rental | $18.62 | $18.62 | $190.55 |
Where Missouri sits
The same service costs 3.4 times more in Hawaii 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· 35th of 51
$191
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.