How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $34.67 Median $56.23 Typical High $97.72 | Facility | None | $34.67 | $56.23 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $37.15 Typical High $45.71 | Professional | None | $34.67 | $37.15 | $45.71 |
Ambetter Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $34.67 Median $40.74 Typical High $72.44 | Professional | None | $34.67 | $40.74 | $72.44 |
BCBS Kansas City Setting Professional Modifier None Typical Low $40.74 Median $43.65 Typical High $56.23 | Professional | None | $40.74 | $43.65 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $41.69 Typical High $75.86 | Professional | None | $28.84 | $41.69 | $75.86 |
Medica Setting Facility Modifier None Typical Low $38.02 Median $85.11 Typical High $181.97 | Facility | None | $38.02 | $85.11 | $181.97 |
Medica Setting Professional Modifier None Typical Low $43.65 Median $165.96 Typical High $257.04 | Professional | None | $43.65 | $165.96 | $257.04 |
United Setting Professional Modifier None Typical Low $37.15 Median $53.70 Typical High $102.33 | Professional | None | $37.15 | $53.70 | $102.33 |
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 |
|---|---|---|---|---|---|
Qualchoice Setting Professional Modifier GA · Liability notice issued Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | GA · Liability notice issued | $69.18 | $69.18 | $69.18 |
Where Missouri sits
The same service costs 3.7 times more in Alaska than in Utah. 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· 27th of 51
$47.86
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.