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 $223.87 Typical High $257.04 | Facility | None | $223.87 | $223.87 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $234.42 Typical High $257.04 | Professional | None | $223.87 | $234.42 | $257.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $1,995.26 | Facility | None | $436.52 | $436.52 | $1,995.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $223.87 Median $288.40 Typical High $354.81 | Professional | None | $223.87 | $288.40 | $354.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $169.82 Median $173.78 Typical High $302.00 | Professional | UE · Used equipment | $169.82 | $173.78 | $302.00 |
BCBS Kansas City Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $436.52 | Professional | None | $263.03 | $263.03 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $281.84 | Facility | None | $251.19 | $251.19 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $251.19 | Professional | None | $181.97 | $181.97 | $251.19 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $426.58 Typical High $1,995.26 | Facility | None | $223.87 | $426.58 | $1,995.26 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $213.80 Typical High $2,137.96 | Professional | None | $158.49 | $213.80 | $2,137.96 |
United Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
United Setting Professional Modifier None Typical Low $147.91 Median $213.80 Typical High $323.59 | Professional | None | $147.91 | $213.80 | $323.59 |
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 $23.44 Median $23.44 Typical High $234.42 | Professional | RR · Rental | $23.44 | $23.44 | $234.42 |
Where Missouri sits
The same service costs 2.5 times more in Montana than in Delaware. 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· 31st of 51
$234
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.