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 $16.98 Median $22.91 Typical High $45.71 | Facility | None | $16.98 | $22.91 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $21.88 Typical High $30.20 | Professional | None | $16.98 | $21.88 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $26.30 Median $31.62 Typical High $42.66 | Professional | None | $26.30 | $31.62 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $32.36 Typical High $44.67 | Professional | None | $27.54 | $32.36 | $44.67 |
BCBS Kansas City Setting Professional Modifier None Typical Low $26.30 Median $31.62 Typical High $37.15 | Professional | None | $26.30 | $31.62 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $33.88 Typical High $52.48 | Professional | None | $26.92 | $33.88 | $52.48 |
Medica Setting Facility Modifier None Typical Low $26.92 Median $75.86 Typical High $134.90 | Facility | None | $26.92 | $75.86 | $134.90 |
Medica Setting Professional Modifier None Typical Low $30.90 Median $190.55 Typical High $194.98 | Professional | None | $30.90 | $190.55 | $194.98 |
Qualchoice Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $39.81 | Professional | None | $33.88 | $33.88 | $39.81 |
United Setting Professional Modifier None Typical Low $26.92 Median $31.62 Typical High $45.71 | Professional | None | $26.92 | $31.62 | $45.71 |
3 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $12.88 Typical High $14.13 | Professional | 52 · Reduced service | $10.96 | $12.88 | $14.13 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 25 · Same-day visit | $30.20 | $30.20 | $30.20 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | SA · Nurse practitioner | $33.11 | $33.11 | $33.11 |
Where Missouri sits
The same service costs 2.5 times more in Alaska than in New York. 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· 31st of 51
$30.90
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.