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 $562.34 Median $562.34 Typical High $645.65 | Facility | None | $562.34 | $562.34 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $588.84 Typical High $660.69 | Professional | None | $562.34 | $588.84 | $660.69 |
Ambetter Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $831.76 | Professional | None | $691.83 | $691.83 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $5,011.87 | Facility | None | $1,096.48 | $1,096.48 | $5,011.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $549.54 Typical High $891.25 | Professional | None | $398.11 | $549.54 | $891.25 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $436.52 Typical High $741.31 | Professional | UE · Used equipment | $199.53 | $436.52 | $741.31 |
BCBS Kansas City Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $1,096.48 | Professional | None | $660.69 | $660.69 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $776.25 | Facility | None | $707.95 | $707.95 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $707.95 | Professional | None | $512.86 | $512.86 | $707.95 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $1,071.52 Typical High $5,011.87 | Facility | None | $562.34 | $1,071.52 | $5,011.87 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $537.03 Typical High $5,495.41 | Professional | None | $398.11 | $537.03 | $5,495.41 |
United Setting Facility Modifier None Typical Low $316.23 Median $1,318.26 Typical High $1,318.26 | Facility | None | $316.23 | $1,318.26 | $1,318.26 |
United Setting Professional Modifier None Typical Low $371.54 Median $537.03 Typical High $812.83 | Professional | None | $371.54 | $537.03 | $812.83 |
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 $45.71 Median $45.71 Typical High $457.09 | Professional | RR · Rental | $45.71 | $45.71 | $457.09 |
Where Missouri sits
The same service costs 2.1 times more in Iowa than in New Hampshire. 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
$550
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.