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 $4,677.35 Median $10,000.00 Typical High $11,748.98 | Facility | None | $4,677.35 | $10,000.00 | $11,748.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,754.23 Median $5,011.87 Typical High $11,748.98 | Professional | None (both parts) | $2,754.23 | $5,011.87 | $11,748.98 |
Cigna Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $4,786.30 Median $5,128.61 Typical High $10,000.00 | Professional | None (both parts) | $4,786.30 | $5,128.61 | $10,000.00 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $4,570.88 Typical High $7,585.78 | Professional | None | $151.36 | $4,570.88 | $7,585.78 |
Medica Setting Facility Modifier None Typical Low $4,168.69 Median $5,495.41 Typical High $11,481.54 | Facility | None | $4,168.69 | $5,495.41 | $11,481.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $4,265.80 Typical High $20,892.96 | Professional | None (both parts) | $2,511.89 | $4,265.80 | $20,892.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21,379.62 Median $21,379.62 Typical High $21,379.62 | Professional | TC · Technical part | $21,379.62 | $21,379.62 | $21,379.62 |
Midlands Setting Professional Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $9,120.11 | Professional | None | $5,128.61 | $5,128.61 | $9,120.11 |
Midlands Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
Midlands Setting Professional Modifier None (both parts) Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Professional | None (both parts) | $5,495.41 | $5,495.41 | $5,495.41 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $4,168.69 Median $4,570.88 Typical High $8,912.51 | Professional | None (both parts) | $4,168.69 | $4,570.88 | $8,912.51 |
United Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $10,715.19 | Facility | None | $4,168.69 | $4,168.69 | $10,715.19 |
United Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,511.89 Typical High $8,511.38 | Professional | None (both parts) | $2,511.89 | $2,511.89 | $8,511.38 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Professional | None (both parts) | $4,168.69 | $4,168.69 | $4,168.69 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,621.81 Median $1,621.81 Typical High $2,511.89 | Professional | 52 · Reduced service | $1,621.81 | $1,621.81 | $2,511.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $645.65 Median $645.65 Typical High $1,000.00 | Professional | 53 · Discontinued | $645.65 | $645.65 | $1,000.00 |
Where Iowa sits
The same service costs 67.6 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· 10th of 51
$4,571
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.