How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $2,290.87 Median $6,165.95 Typical High $8,317.64 | Facility | None | $2,290.87 | $6,165.95 | $8,317.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,290.87 Median $2,290.87 Typical High $3,467.37 | Professional | None (both parts) | $2,290.87 | $2,290.87 | $3,467.37 |
Cigna Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,388.44 Median $3,630.78 Typical High $6,918.31 | Professional | None (both parts) | $3,388.44 | $3,630.78 | $6,918.31 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $3,235.94 Typical High $5,248.07 | Professional | None | $151.36 | $3,235.94 | $5,248.07 |
Medica Setting Facility Modifier None Typical Low $2,951.21 Median $3,801.89 Typical High $7,762.47 | Facility | None | $2,951.21 | $3,801.89 | $7,762.47 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $3,019.95 Typical High $14,454.40 | Professional | None (both parts) | $1,737.80 | $3,019.95 | $14,454.40 |
Midlands Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,890.45 | Professional | None | $3,630.78 | $3,630.78 | $3,890.45 |
Midlands Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
Midlands Setting Professional Modifier None (both parts) Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None (both parts) | $3,890.45 | $3,890.45 | $3,890.45 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $2,951.21 Median $3,162.28 Typical High $6,165.95 | Professional | None (both parts) | $2,951.21 | $3,162.28 | $6,165.95 |
United Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $7,413.10 | Facility | None | $2,951.21 | $2,951.21 | $7,413.10 |
United Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $1,737.80 Typical High $6,025.60 | Professional | None (both parts) | $1,737.80 | $1,737.80 | $6,025.60 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None (both parts) | $2,951.21 | $2,951.21 | $2,951.21 |
3 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,148.15 Median $1,148.15 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,148.15 | $1,148.15 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $457.09 Typical High $707.95 | Professional | 53 · Discontinued | $457.09 | $457.09 | $707.95 |
Medica Setting Professional Modifier TC · Technical part Typical Low $14,791.08 Median $14,791.08 Typical High $14,791.08 | Professional | TC · Technical part | $14,791.08 | $14,791.08 | $14,791.08 |
Where Iowa sits
The same service costs 37.2 times more in Texas than in Ohio. 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· 9th of 51
$3,020
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.