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 $35.48 Median $47.86 Typical High $61.66 | Facility | None | $35.48 | $47.86 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Ambetter Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $60.26 | Professional | None | $45.71 | $45.71 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $50.12 | Professional | None | $36.31 | $42.66 | $50.12 |
BCBS Kansas City Setting Professional Modifier None Typical Low $39.81 Median $42.66 Typical High $54.95 | Professional | None | $39.81 | $42.66 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $46.77 Typical High $83.18 | Professional | None | $28.18 | $46.77 | $83.18 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $79.43 Typical High $204.17 | Facility | None | $50.12 | $79.43 | $204.17 |
Medica Setting Professional Modifier None Typical Low $288.40 Median $323.59 Typical High $323.59 | Professional | None | $288.40 | $323.59 | $323.59 |
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 $37.15 Median $44.67 Typical High $52.48 | Professional | None | $37.15 | $44.67 | $52.48 |
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 $43.65 Median $43.65 Typical High $45.71 | Professional | AT · Acute treatment | $43.65 | $43.65 | $45.71 |
Qualchoice Setting Professional Modifier AT · Acute treatment Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | AT · Acute treatment | $77.62 | $77.62 | $77.62 |
Where Missouri sits
The same service costs 3.0 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· 17th of 51
$46.77
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.