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 $13.80 Median $20.89 Typical High $75.86 | Facility | None | $13.80 | $20.89 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.80 Typical High $16.22 | Professional | None | $13.49 | $13.80 | $16.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $10.96 Typical High $30.90 | Professional | None | $9.33 | $10.96 | $30.90 |
BCBS Kansas City Setting Professional Modifier None Typical Low $19.05 Median $19.95 Typical High $22.39 | Professional | None | $19.05 | $19.95 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $12.30 Typical High $46.77 | Professional | None | $9.12 | $12.30 | $46.77 |
Medica Setting Facility Modifier None Typical Low $17.38 Median $33.11 Typical High $100.00 | Facility | None | $17.38 | $33.11 | $100.00 |
Medica Setting Professional Modifier None Typical Low $15.85 Median $23.99 Typical High $144.54 | Professional | None | $15.85 | $23.99 | $144.54 |
United Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
United Setting Professional Modifier None Typical Low $15.14 Median $19.05 Typical High $31.62 | Professional | None | $15.14 | $19.05 | $31.62 |
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 GP · Physical therapy plan Typical Low $12.59 Median $12.59 Typical High $17.78 | Professional | GP · Physical therapy plan | $12.59 | $12.59 | $17.78 |
Where Missouri sits
The same service costs 3.0 times more in Alaska than in Delaware. 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· 49th of 51
$15.14
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.