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 $123.03 Median $128.82 Typical High $257.04 | Facility | None | $123.03 | $128.82 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $128.82 Typical High $144.54 | Professional | None | $123.03 | $128.82 | $144.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $1,096.48 | Facility | None | $239.88 | $239.88 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $123.03 Median $131.83 Typical High $190.55 | Professional | None | $123.03 | $131.83 | $190.55 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $91.20 Median $95.50 Typical High $162.18 | Professional | UE · Used equipment | $91.20 | $95.50 | $162.18 |
BCBS Kansas City Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $239.88 | Professional | None | $141.25 | $141.25 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $144.54 | Facility | None | $131.83 | $131.83 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $131.83 | Professional | None | $95.50 | $95.50 | $131.83 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $234.42 Typical High $1,096.48 | Facility | None | $117.49 | $234.42 | $1,096.48 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $114.82 Typical High $1,174.90 | Professional | None | $87.10 | $114.82 | $1,174.90 |
United Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
United Setting Professional Modifier None Typical Low $79.43 Median $114.82 Typical High $177.83 | Professional | None | $79.43 | $114.82 | $177.83 |
2 more rates 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | GP · Physical therapy plan | $177.83 | $177.83 | $177.83 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $12.59 Median $12.59 Typical High $131.83 | Professional | RR · Rental | $12.59 | $12.59 | $131.83 |
Where Missouri sits
The same service costs 2.3 times more in Hawaii 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
$132
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.