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 $93.33 Median $107.15 Typical High $141.25 | Facility | None | $93.33 | $107.15 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $120.23 Typical High $141.25 | Professional | None | $93.33 | $120.23 | $141.25 |
Ambetter Setting Professional Modifier None Typical Low $117.49 Median $128.82 Typical High $177.83 | Professional | None | $117.49 | $128.82 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $89.13 Median $144.54 Typical High $173.78 | Professional | None | $89.13 | $144.54 | $173.78 |
BCBS Kansas City Setting Professional Modifier None Typical Low $97.72 Median $165.96 Typical High $223.87 | Professional | None | $97.72 | $165.96 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $223.87 Typical High $223.87 | Professional | None | $100.00 | $223.87 | $223.87 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $218.78 Typical High $912.01 | Facility | None | $125.89 | $218.78 | $912.01 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $134.90 Typical High $912.01 | Professional | None | $100.00 | $134.90 | $912.01 |
Qualchoice Setting Professional Modifier None Typical Low $162.18 Median $204.17 Typical High $239.88 | Professional | None | $162.18 | $204.17 | $239.88 |
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 $100.00 Median $107.15 Typical High $181.97 | Professional | None | $100.00 | $107.15 | $181.97 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier UD · State-defined Typical Low $114.82 Median $114.82 Typical High $117.49 | Professional | UD · State-defined | $114.82 | $114.82 | $117.49 |
Where Missouri sits
The same service costs 1.7 times more in North Dakota than in Ohio. 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· 30th of 51
$126
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.