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 $60.26 Median $89.13 Typical High $89.13 | Facility | None | $60.26 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $89.13 Typical High $125.89 | Professional | None | $60.26 | $89.13 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $616.60 | Facility | None | $134.90 | $134.90 | $616.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $70.79 Median $87.10 Typical High $234.42 | Professional | None | $70.79 | $87.10 | $234.42 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $52.48 Median $66.07 Typical High $177.83 | Professional | UE · Used equipment | $52.48 | $66.07 | $177.83 |
BCBS Kansas City Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $134.90 | Professional | None | $79.43 | $79.43 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $112.20 | Facility | None | $104.71 | $104.71 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $104.71 | Professional | None | $89.13 | $89.13 | $104.71 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $128.82 Typical High $616.60 | Facility | None | $60.26 | $128.82 | $616.60 |
Medica Setting Professional Modifier None Typical Low $48.98 Median $66.07 Typical High $660.69 | Professional | None | $48.98 | $66.07 | $660.69 |
United Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
United Setting Professional Modifier None Typical Low $45.71 Median $66.07 Typical High $93.33 | Professional | None | $45.71 | $66.07 | $93.33 |
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 $19.95 Median $23.44 Typical High $234.42 | Professional | RR · Rental | $19.95 | $23.44 | $234.42 |
Where Missouri sits
The same service costs 2.0 times more in Montana than in Kentucky. 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· 43rd of 51
$87.10
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.