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 $66.07 Median $93.33 Typical High $154.88 | Facility | None | $66.07 | $93.33 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $75.86 Typical High $102.33 | Professional | None | $66.07 | $75.86 | $102.33 |
Ambetter Setting Professional Modifier None Typical Low $54.95 Median $74.13 Typical High $107.15 | Professional | None | $54.95 | $74.13 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,659.59 | Facility | None | $1,479.11 | $1,479.11 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $97.72 Typical High $134.90 | Professional | None | $39.81 | $97.72 | $134.90 |
BCBS Kansas City Setting Professional Modifier None Typical Low $69.18 Median $75.86 Typical High $97.72 | Professional | None | $69.18 | $75.86 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $218.78 Typical High $257.04 | Facility | None | $173.78 | $218.78 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $79.43 Typical High $138.04 | Professional | None | $69.18 | $79.43 | $138.04 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $138.04 Typical High $316.23 | Facility | None | $77.62 | $138.04 | $316.23 |
Medica Setting Professional Modifier None Typical Low $72.44 Median $489.78 Typical High $489.78 | Professional | None | $72.44 | $489.78 | $489.78 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $239.88 | Facility | None | $229.09 | $229.09 | $239.88 |
United Setting Professional Modifier None Typical Low $67.61 Median $85.11 Typical High $109.65 | Professional | None | $67.61 | $85.11 | $109.65 |
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 59 · Distinct service Typical Low $54.95 Median $54.95 Typical High $69.18 | Professional | 59 · Distinct service | $54.95 | $54.95 | $69.18 |
Where Missouri sits
The same service costs 3.0 times more in Alaska than in Florida. 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
$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.