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 $17.78 Median $25.12 Typical High $63.10 | Facility | None | $17.78 | $25.12 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $17.78 Typical High $17.78 | Professional | None | $15.85 | $17.78 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $85.11 | Facility | None | $18.20 | $18.20 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $11.48 Typical High $21.88 | Professional | None | $7.24 | $11.48 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $40.74 Typical High $77.62 | Facility | None | $18.20 | $40.74 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Medica Setting Facility Modifier None Typical Low $16.60 Median $28.84 Typical High $87.10 | Facility | None | $16.60 | $28.84 | $87.10 |
Medica Setting Professional Modifier None Typical Low $7.76 Median $11.22 Typical High $21.88 | Professional | None | $7.76 | $11.22 | $21.88 |
United Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier None Typical Low $7.76 Median $10.96 Typical High $24.55 | Professional | None | $7.76 | $10.96 | $24.55 |
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 QW · Waived lab test Typical Low $7.76 Median $7.76 Typical High $9.12 | Professional | QW · Waived lab test | $7.76 | $7.76 | $9.12 |
Where Missouri sits
The same service costs 4.0 times more in Kansas than in Georgia. 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· 38th of 51
$13.49
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.