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 $10.47 Median $15.49 Typical High $20.42 | Facility | None | $10.47 | $15.49 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $10.96 Typical High $16.22 | Professional | None | $8.71 | $10.96 | $16.22 |
Ambetter Setting Professional Modifier None Typical Low $12.02 Median $14.79 Typical High $20.42 | Professional | None | $12.02 | $14.79 | $20.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.77 Median $11.75 Typical High $18.62 | Professional | None | $9.77 | $11.75 | $18.62 |
BCBS Kansas City Setting Professional Modifier None Typical Low $10.72 Median $14.79 Typical High $18.20 | Professional | None | $10.72 | $14.79 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $14.45 Typical High $22.39 | Professional | None | $11.22 | $14.45 | $22.39 |
Medica Setting Facility Modifier None Typical Low $11.22 Median $19.95 Typical High $138.04 | Facility | None | $11.22 | $19.95 | $138.04 |
Medica Setting Professional Modifier None Typical Low $12.30 Median $199.53 Typical High $199.53 | Professional | None | $12.30 | $199.53 | $199.53 |
Qualchoice Setting Professional Modifier None Typical Low $13.49 Median $16.22 Typical High $19.05 | Professional | None | $13.49 | $16.22 | $19.05 |
United Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $125.89 | Facility | None | $117.49 | $117.49 | $125.89 |
United Setting Professional Modifier None Typical Low $10.72 Median $13.80 Typical High $18.62 | Professional | None | $10.72 | $13.80 | $18.62 |
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 25 · Same-day visit Typical Low $12.30 Median $14.79 Typical High $16.60 | Professional | 25 · Same-day visit | $12.30 | $14.79 | $16.60 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 33 · Preventive service | $20.89 | $20.89 | $20.89 |
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· 42nd of 51
$12.59
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.