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 $275.42 Median $588.84 Typical High $691.83 | Facility | None | $275.42 | $588.84 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None (both parts) | $691.83 | $691.83 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $478.63 Typical High $588.84 | Professional | None (both parts) | $239.88 | $478.63 | $588.84 |
Hally Health Setting Professional Modifier None Typical Low $208.93 Median $323.59 Typical High $446.68 | Professional | None | $208.93 | $323.59 | $446.68 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $389.05 Typical High $1,174.90 | Facility | None | $234.42 | $389.05 | $1,174.90 |
Medica Setting Professional Modifier None (both parts) Typical Low $117.49 Median $199.53 Typical High $501.19 | Professional | None (both parts) | $117.49 | $199.53 | $501.19 |
Midlands Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $302.00 | Professional | None | $239.88 | $239.88 | $302.00 |
United Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $630.96 | Facility | None | $245.47 | $245.47 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $123.03 Typical High $295.12 | Professional | None (both parts) | $117.49 | $123.03 | $295.12 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $194.98 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $194.98 | $245.47 | $245.47 |
2 more rates 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 |
|---|---|---|---|---|---|
Cigna Setting Facility Modifier TC · Technical part Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | TC · Technical part | $602.56 | $602.56 | $602.56 |
Midlands Setting Facility Modifier TC · Technical part Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | TC · Technical part | $602.56 | $602.56 | $602.56 |
Where Iowa sits
The same service costs 21.4 times more in Montana than in Alabama. 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.
Iowa· 12th of 51
$245
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.