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 $83.18 Median $102.33 Typical High $204.17 | Facility | None | $83.18 | $102.33 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $95.50 Typical High $131.83 | Professional | None | $83.18 | $95.50 | $131.83 |
Ambetter Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $112.20 Median $131.83 Typical High $194.98 | Professional | None | $112.20 | $131.83 | $194.98 |
BCBS Kansas City Setting Professional Modifier None Typical Low $100.00 Median $107.15 Typical High $147.91 | Professional | None | $100.00 | $107.15 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $218.78 | Professional | None | $104.71 | $123.03 | $218.78 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $177.83 Typical High $524.81 | Facility | None | $128.82 | $177.83 | $524.81 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $1,071.52 Typical High $1,071.52 | Professional | None | $102.33 | $1,071.52 | $1,071.52 |
United Setting Professional Modifier None Typical Low $102.33 Median $112.20 Typical High $169.82 | Professional | None | $102.33 | $112.20 | $169.82 |
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 25 · Same-day visit Typical Low $100.00 Median $154.88 Typical High $154.88 | Professional | 25 · Same-day visit | $100.00 | $154.88 | $154.88 |
Where Missouri sits
The same service costs 2.8 times more in Alaska than in Florida. 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· 24th of 51
$132
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.