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 $79.43 Median $141.25 Typical High $223.87 | Facility | None | $79.43 | $141.25 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $151.36 Typical High $194.98 | Professional | None | $141.25 | $151.36 | $194.98 |
Ambetter Setting Professional Modifier None Typical Low $169.82 Median $281.84 Typical High $380.19 | Professional | None | $169.82 | $281.84 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $1,288.25 | Facility | None | $275.42 | $275.42 | $1,288.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $144.54 Median $173.78 Typical High $223.87 | Professional | None | $144.54 | $173.78 | $223.87 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $107.15 Median $112.20 Typical High $190.55 | Professional | UE · Used equipment | $107.15 | $112.20 | $190.55 |
BCBS Kansas City Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $275.42 | Professional | None | $165.96 | $165.96 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $151.36 | Facility | None | $134.90 | $134.90 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $134.90 | Professional | None | $97.72 | $97.72 | $134.90 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $275.42 Typical High $1,288.25 | Facility | None | $141.25 | $275.42 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $134.90 Typical High $1,380.38 | Professional | None | $102.33 | $134.90 | $1,380.38 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
United Setting Professional Modifier None Typical Low $93.33 Median $134.90 Typical High $208.93 | Professional | None | $93.33 | $134.90 | $208.93 |
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 $14.79 Median $14.79 Typical High $151.36 | Professional | RR · Rental | $14.79 | $14.79 | $151.36 |
Where Missouri sits
The same service costs 2.3 times more in Kansas 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· 30th of 51
$151
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.