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 $13.49 Median $36.31 Typical High $48.98 | Facility | None | $13.49 | $36.31 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $11.48 Median $13.49 Typical High $20.89 | Professional | None (both parts) | $11.48 | $13.49 | $20.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.95 Median $33.11 Typical High $41.69 | Professional | None (both parts) | $19.95 | $33.11 | $41.69 |
Hally Health Setting Professional Modifier None Typical Low $19.05 Median $25.12 Typical High $30.90 | Professional | None | $19.05 | $25.12 | $30.90 |
Medica Setting Facility Modifier None Typical Low $17.38 Median $30.20 Typical High $81.28 | Facility | None | $17.38 | $30.20 | $81.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $10.47 Median $17.38 Typical High $38.02 | Professional | None (both parts) | $10.47 | $17.38 | $38.02 |
Midlands Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $67.61 | Professional | None | $21.38 | $21.38 | $67.61 |
United Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $44.67 | Facility | None | $17.38 | $17.38 | $44.67 |
United Setting Professional Modifier None (both parts) Typical Low $10.47 Median $10.47 Typical High $20.89 | Professional | None (both parts) | $10.47 | $10.47 | $20.89 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $13.49 Median $17.38 Typical High $17.38 | Professional | None (both parts) | $13.49 | $17.38 | $17.38 |
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 $20.89 Median $20.89 Typical High $20.89 | Facility | TC · Technical part | $20.89 | $20.89 | $20.89 |
Midlands Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $20.89 | Facility | TC · Technical part | $20.89 | $20.89 | $20.89 |
Where Iowa sits
The same service costs 3.3 times more in Alaska than in New Mexico. 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· 19th of 51
$17.38
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.