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 $56.23 Median $77.62 Typical High $117.49 | Facility | None | $56.23 | $77.62 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $64.57 Typical High $75.86 | Professional | None | $51.29 | $64.57 | $75.86 |
Ambetter Setting Professional Modifier None Typical Low $53.70 Median $66.07 Typical High $93.33 | Professional | None | $53.70 | $66.07 | $93.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $60.26 Typical High $74.13 | Professional | None | $33.88 | $60.26 | $74.13 |
BCBS Kansas City Setting Professional Modifier None Typical Low $39.81 Median $89.13 Typical High $120.23 | Professional | None | $39.81 | $89.13 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $50.12 Typical High $81.28 | Professional | None | $36.31 | $50.12 | $81.28 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $91.20 Typical High $323.59 | Facility | None | $66.07 | $91.20 | $323.59 |
Medica Setting Professional Modifier None Typical Low $53.70 Median $72.44 Typical High $489.78 | Professional | None | $53.70 | $72.44 | $489.78 |
Qualchoice Setting Professional Modifier None Typical Low $87.10 Median $107.15 Typical High $123.03 | Professional | None | $87.10 | $107.15 | $123.03 |
United Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $588.84 | Facility | None | $562.34 | $562.34 | $588.84 |
United Setting Professional Modifier None Typical Low $53.70 Median $56.23 Typical High $83.18 | Professional | None | $53.70 | $56.23 | $83.18 |
4 more rates 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier CG · Policy criteria applied Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | CG · Policy criteria applied | $61.66 | $61.66 | $61.66 |
Ambetter Setting Professional Modifier HE · Mental health program Typical Low $56.23 Median $61.66 Typical High $61.66 | Professional | HE · Mental health program | $56.23 | $61.66 | $61.66 |
Ambetter Setting Professional Modifier Q2 · Demonstration procedure Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | Q2 · Demonstration procedure | $63.10 | $63.10 | $63.10 |
Ambetter Setting Professional Modifier UD · State-defined Typical Low $42.66 Median $61.66 Typical High $63.10 | Professional | UD · State-defined | $42.66 | $61.66 | $63.10 |
Where Missouri sits
The same service costs 1.9 times more in North Dakota 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· 35th of 51
$60.26
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.