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 $74.13 Median $87.10 Typical High $169.82 | Facility | None | $74.13 | $87.10 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $85.11 Typical High $102.33 | Professional | None | $74.13 | $85.11 | $102.33 |
Ambetter Setting Professional Modifier None Typical Low $75.86 Median $83.18 Typical High $141.25 | Professional | None | $75.86 | $83.18 | $141.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $104.71 Typical High $158.49 | Professional | None | $64.57 | $104.71 | $158.49 |
BCBS Kansas City Setting Professional Modifier None Typical Low $77.62 Median $117.49 Typical High $162.18 | Professional | None | $77.62 | $117.49 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $70.79 Typical High $131.83 | Professional | None | $60.26 | $70.79 | $131.83 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $151.36 Typical High $478.63 | Facility | None | $100.00 | $151.36 | $478.63 |
Medica Setting Professional Modifier None Typical Low $87.10 Median $104.71 Typical High $660.69 | Professional | None | $87.10 | $104.71 | $660.69 |
Qualchoice Setting Professional Modifier None Typical Low $141.25 Median $162.18 Typical High $165.96 | Professional | None | $141.25 | $162.18 | $165.96 |
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 $87.10 Median $91.20 Typical High $131.83 | Professional | None | $87.10 | $91.20 | $131.83 |
3 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $89.13 Median $100.00 Typical High $104.71 | Professional | AF · Specialist physician | $89.13 | $100.00 | $104.71 |
Ambetter Setting Professional Modifier HE · Mental health program Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | HE · Mental health program | $81.28 | $81.28 | $81.28 |
Ambetter Setting Professional Modifier UD · State-defined Typical Low $81.28 Median $81.28 Typical High $91.20 | Professional | UD · State-defined | $81.28 | $81.28 | $91.20 |
Where Missouri sits
The same service costs 1.7 times more in Alaska 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· 33rd of 51
$91.20
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.