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 $288.40 Median $288.40 Typical High $323.59 | Facility | None | $288.40 | $288.40 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $302.00 Typical High $389.05 | Professional | None | $288.40 | $302.00 | $389.05 |
Ambetter Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $457.09 | Professional | None | $416.87 | $416.87 | $457.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $2,570.40 | Facility | None | $562.34 | $562.34 | $2,570.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $263.03 Median $302.00 Typical High $489.78 | Professional | None | $263.03 | $302.00 | $489.78 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $223.87 Median $239.88 Typical High $407.38 | Professional | UE · Used equipment | $223.87 | $239.88 | $407.38 |
BCBS Kansas City Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $562.34 | Professional | None | $331.13 | $331.13 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $416.87 | Facility | None | $371.54 | $371.54 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $371.54 | Professional | None | $275.42 | $275.42 | $371.54 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $549.54 Typical High $2,570.40 | Facility | None | $295.12 | $549.54 | $2,570.40 |
Medica Setting Professional Modifier None Typical Low $204.17 Median $269.15 Typical High $2,754.23 | Professional | None | $204.17 | $269.15 | $2,754.23 |
United Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
United Setting Professional Modifier None Typical Low $199.53 Median $269.15 Typical High $416.87 | Professional | None | $199.53 | $269.15 | $416.87 |
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 $30.20 Median $30.20 Typical High $302.00 | Professional | RR · Rental | $30.20 | $30.20 | $302.00 |
Where Missouri sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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· 42nd of 51
$302
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.