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 $22.39 Median $27.54 Typical High $38.02 | Facility | None | $22.39 | $27.54 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $23.99 Typical High $27.54 | Professional | None | $23.44 | $23.99 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.99 Median $31.62 Typical High $79.43 | Facility | None | $23.99 | $31.62 | $79.43 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.91 Median $27.54 Typical High $27.54 | Professional | None | $22.91 | $27.54 | $27.54 |
BCBS Kansas City Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $46.77 | Professional | None | $25.70 | $25.70 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $28.18 Typical High $67.61 | Facility | None | $26.30 | $28.18 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
Medica Setting Facility Modifier None Typical Low $20.42 Median $24.55 Typical High $107.15 | Facility | None | $20.42 | $24.55 | $107.15 |
Medica Setting Professional Modifier None Typical Low $22.39 Median $95.50 Typical High $95.50 | Professional | None | $22.39 | $95.50 | $95.50 |
United Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
United Setting Professional Modifier None Typical Low $20.42 Median $23.99 Typical High $26.30 | Professional | None | $20.42 | $23.99 | $26.30 |
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 $22.39 Median $22.39 Typical High $22.39 | Professional | JZ · No drug discarded | $22.39 | $22.39 | $22.39 |
Where Missouri sits
Rates are fairly even across states for this service. 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· 14th of 51
$23.99
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.