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 $21.38 Median $21.38 Typical High $41.69 | Facility | None | $21.38 | $21.38 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Ambetter Setting Professional Modifier None Typical Low $23.44 Median $26.30 Typical High $30.20 | Professional | None | $23.44 | $26.30 | $30.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $30.20 | Professional | None | $25.70 | $25.70 | $30.20 |
BCBS Kansas City Setting Professional Modifier None Typical Low $19.05 Median $23.44 Typical High $29.51 | Professional | None | $19.05 | $23.44 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $36.31 Typical High $46.77 | Professional | None | $25.12 | $36.31 | $46.77 |
Medica Setting Facility Modifier None Typical Low $25.12 Median $52.48 Typical High $100.00 | Facility | None | $25.12 | $52.48 | $100.00 |
Medica Setting Professional Modifier None Typical Low $138.04 Median $173.78 Typical High $173.78 | Professional | None | $138.04 | $173.78 | $173.78 |
United Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $72.44 | Facility | None | $67.61 | $67.61 | $72.44 |
United Setting Professional Modifier None Typical Low $18.62 Median $22.91 Typical High $28.18 | Professional | None | $18.62 | $22.91 | $28.18 |
2 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier AT · Acute treatment Typical Low $23.44 Median $23.99 Typical High $33.11 | Professional | AT · Acute treatment | $23.44 | $23.99 | $33.11 |
Qualchoice Setting Professional Modifier 96 · Habilitative service + AT · Acute treatment + GP · Physical therapy plan + Q6 · Substitute physician, paid per time Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 96 · Habilitative service + AT · Acute treatment + GP · Physical therapy plan + Q6 · Substitute physician, paid per time | $44.67 | $44.67 | $44.67 |
Where Missouri sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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· 19th of 51
$30.20
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.