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 $48.98 Median $54.95 Typical High $120.23 | Facility | None | $48.98 | $54.95 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $117.49 | Professional | None | $51.29 | $51.29 | $117.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $52.48 Median $69.18 Typical High $173.78 | Facility | None | $52.48 | $69.18 | $173.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $48.98 Median $54.95 Typical High $117.49 | Professional | None | $48.98 | $54.95 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $89.13 Typical High $120.23 | Facility | None | $58.88 | $89.13 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Medica Setting Facility Modifier None Typical Low $48.98 Median $74.13 Typical High $245.47 | Facility | None | $48.98 | $74.13 | $245.47 |
Medica Setting Professional Modifier None Typical Low $48.98 Median $50.12 Typical High $58.88 | Professional | None | $48.98 | $50.12 | $58.88 |
United Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
United Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $91.20 | Professional | None | $48.98 | $48.98 | $91.20 |
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 JZ · No drug discarded Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | JZ · No drug discarded | $58.88 | $58.88 | $58.88 |
Where Missouri sits
The same service costs 2.0 times more in Wyoming than in Mississippi. 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
$52.48
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.