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 $223.87 Median $331.13 Typical High $331.13 | Facility | None | $223.87 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $331.13 Typical High $467.74 | Professional | None | $223.87 | $331.13 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $2,290.87 | Facility | None | $501.19 | $501.19 | $2,290.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $239.88 Median $257.04 Typical High $398.11 | Professional | None | $239.88 | $257.04 | $398.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $190.55 Median $194.98 Typical High $346.74 | Professional | UE · Used equipment | $190.55 | $194.98 | $346.74 |
BCBS Kansas City Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $501.19 | Professional | None | $302.00 | $302.00 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $363.08 | Facility | None | $323.59 | $323.59 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $323.59 | Professional | None | $239.88 | $239.88 | $323.59 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $478.63 Typical High $2,238.72 | Facility | None | $223.87 | $478.63 | $2,238.72 |
Medica Setting Professional Modifier None Typical Low $173.78 Median $245.47 Typical High $2,754.23 | Professional | None | $173.78 | $245.47 | $2,754.23 |
United Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
United Setting Professional Modifier None Typical Low $162.18 Median $245.47 Typical High $346.74 | Professional | None | $162.18 | $245.47 | $346.74 |
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 $25.70 Median $25.70 Typical High $257.04 | Professional | RR · Rental | $25.70 | $25.70 | $257.04 |
Where Missouri sits
The same service costs 2.6 times more in Hawaii than in Washington, DC. 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
$257
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.