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 $234.42 Median $275.42 Typical High $512.86 | Facility | None | $234.42 | $275.42 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $275.42 Typical High $354.81 | Professional | None | $234.42 | $275.42 | $354.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $251.19 Median $436.52 Typical High $1,412.54 | Professional | None | $251.19 | $436.52 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $371.54 | Professional | None | $245.47 | $245.47 | $371.54 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $1,000.00 Typical High $2,630.27 | Facility | None | $295.12 | $1,000.00 | $2,630.27 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $512.86 Typical High $2,238.72 | Professional | None | $407.38 | $512.86 | $2,238.72 |
United Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
United Setting Professional Modifier None Typical Low $338.84 Median $436.52 Typical High $794.33 | Professional | None | $338.84 | $436.52 | $794.33 |
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 RH · Ambulance R to H Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | RH · Ambulance R to H | $380.19 | $380.19 | $380.19 |
Where Missouri sits
The same service costs 6.6 times more in Minnesota than in North Carolina. 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· 33rd of 51
$447
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.