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 $18.62 Median $19.95 Typical High $26.30 | Facility | None | $18.62 | $19.95 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $26.30 | Professional | None | $19.05 | $19.05 | $26.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $19.50 Median $25.70 Typical High $66.07 | Facility | None | $19.50 | $25.70 | $66.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.62 Median $19.50 Typical High $20.89 | Professional | None | $18.62 | $19.50 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $33.11 Typical High $45.71 | Facility | None | $21.88 | $33.11 | $45.71 |
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 $4.27 Median $24.55 Typical High $125.89 | Facility | None | $4.27 | $24.55 | $125.89 |
Medica Setting Professional Modifier None Typical Low $22.39 Median $24.55 Typical High $27.54 | Professional | None | $22.39 | $24.55 | $27.54 |
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 $17.38 Median $18.62 Typical High $21.38 | Professional | None | $17.38 | $18.62 | $21.38 |
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 $25.12 Median $25.12 Typical High $25.12 | Professional | JZ · No drug discarded | $25.12 | $25.12 | $25.12 |
Where Missouri sits
The same service costs 19.5 times more in Alabama than in Oklahoma. 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
$19.50
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.