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 $58.88 Median $97.72 Typical High $213.80 | Facility | None | $58.88 | $97.72 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $66.07 Typical High $91.20 | Professional | None | $58.88 | $66.07 | $91.20 |
Ambetter Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $72.44 | Professional | None | $53.70 | $63.10 | $72.44 |
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 $41.69 Median $91.20 Typical High $117.49 | Professional | None | $41.69 | $91.20 | $117.49 |
BCBS Kansas City Setting Professional Modifier None Typical Low $64.57 Median $69.18 Typical High $100.00 | Professional | None | $64.57 | $69.18 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $251.19 Typical High $363.08 | Facility | None | $194.98 | $251.19 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $70.79 Typical High $125.89 | Professional | None | $61.66 | $70.79 | $125.89 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $120.23 Typical High $275.42 | Facility | None | $87.10 | $120.23 | $275.42 |
Medica Setting Professional Modifier None Typical Low $66.07 Median $446.68 Typical High $446.68 | Professional | None | $66.07 | $446.68 | $446.68 |
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 $61.66 Median $83.18 Typical High $120.23 | Professional | None | $61.66 | $83.18 | $120.23 |
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 $63.10 Median $63.10 Typical High $63.10 | Professional | 59 · Distinct service | $63.10 | $63.10 | $63.10 |
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· 26th 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.