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 $18.20 Median $19.50 Typical High $40.74 | Facility | None | $18.20 | $19.50 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $28.18 | Professional | None | $19.05 | $19.05 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.05 Median $25.70 Typical High $63.10 | Facility | None | $19.05 | $25.70 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $19.95 Typical High $23.44 | Professional | None | $18.20 | $19.95 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $32.36 Typical High $44.67 | Facility | None | $21.88 | $32.36 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Medica Setting Facility Modifier None Typical Low $17.78 Median $21.38 Typical High $165.96 | Facility | None | $17.78 | $21.38 | $165.96 |
Medica Setting Professional Modifier None Typical Low $16.22 Median $18.20 Typical High $20.89 | Professional | None | $16.22 | $18.20 | $20.89 |
United Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
United Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $20.89 | Professional | None | $18.20 | $18.20 | $20.89 |
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 $18.20 Median $18.20 Typical High $18.20 | Professional | JZ · No drug discarded | $18.20 | $18.20 | $18.20 |
Where Missouri sits
The same service costs 6.6 times more in Alabama than in Iowa. 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· 41st of 51
$19.05
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.