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 $9,549.93 Median $14,125.38 Typical High $14,125.38 | Facility | None | $9,549.93 | $14,125.38 | $14,125.38 |
Aetna Setting Professional Modifier None Typical Low $9,549.93 Median $14,125.38 Typical High $19,952.62 | Professional | None | $9,549.93 | $14,125.38 | $19,952.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $21,379.62 Median $21,379.62 Typical High $100,000.00 | Facility | None | $21,379.62 | $21,379.62 | $100,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $11,220.18 Median $11,220.18 Typical High $16,982.44 | Professional | None | $11,220.18 | $11,220.18 | $16,982.44 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $8,511.38 Median $9,120.11 Typical High $15,848.93 | Professional | UE · Used equipment | $8,511.38 | $9,120.11 | $15,848.93 |
BCBS Kansas City Setting Professional Modifier None Typical Low $12,882.50 Median $12,882.50 Typical High $21,379.62 | Professional | None | $12,882.50 | $12,882.50 | $21,379.62 |
Cigna Setting Facility Modifier None Typical Low $12,882.50 Median $12,882.50 Typical High $14,125.38 | Facility | None | $12,882.50 | $12,882.50 | $14,125.38 |
Cigna Setting Professional Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $12,882.50 | Professional | None | $9,332.54 | $9,332.54 | $12,882.50 |
Medica Setting Facility Modifier None Typical Low $10,000.00 Median $20,892.96 Typical High $97,723.72 | Facility | None | $10,000.00 | $20,892.96 | $97,723.72 |
Medica Setting Professional Modifier None Typical Low $7,762.47 Median $10,471.29 Typical High $107,151.93 | Professional | None | $7,762.47 | $10,471.29 | $107,151.93 |
United Setting Facility Modifier None Typical Low $25,703.96 Median $25,703.96 Typical High $25,703.96 | Facility | None | $25,703.96 | $25,703.96 | $25,703.96 |
United Setting Professional Modifier None Typical Low $7,413.10 Median $10,471.29 Typical High $15,135.61 | Professional | None | $7,413.10 | $10,471.29 | $15,135.61 |
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 $1,122.02 Median $1,122.02 Typical High $11,220.18 | Professional | RR · Rental | $1,122.02 | $1,122.02 | $11,220.18 |
Where Missouri sits
The same service costs 2.3 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· 40th of 51
$11,220
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.