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 $194.98 Median $288.40 Typical High $288.40 | Facility | None | $194.98 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $288.40 Typical High $407.38 | Professional | None | $194.98 | $288.40 | $407.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $1,995.26 | Facility | None | $436.52 | $436.52 | $1,995.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $229.09 Median $251.19 Typical High $354.81 | Professional | None | $229.09 | $251.19 | $354.81 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $186.21 Median $194.98 Typical High $316.23 | Professional | UE · Used equipment | $186.21 | $194.98 | $316.23 |
BCBS Kansas City Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $436.52 | Professional | None | $263.03 | $263.03 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $295.12 | Facility | None | $275.42 | $275.42 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $275.42 | Professional | None | $204.17 | $204.17 | $275.42 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $398.11 Typical High $1,995.26 | Facility | None | $234.42 | $398.11 | $1,995.26 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $213.80 Typical High $2,187.76 | Professional | None | $158.49 | $213.80 | $2,187.76 |
United Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
United Setting Professional Modifier None Typical Low $147.91 Median $213.80 Typical High $331.13 | Professional | None | $147.91 | $213.80 | $331.13 |
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 2.5 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· 41st of 51
$234
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.