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 $281.84 Median $758.58 Typical High $1,023.29 | Facility | None | $281.84 | $758.58 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $436.52 | Professional | None (both parts) | $281.84 | $281.84 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $446.68 Typical High $870.96 | Professional | None (both parts) | $416.87 | $446.68 | $870.96 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $398.11 Typical High $660.69 | Professional | None | $151.36 | $398.11 | $660.69 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $467.74 Typical High $1,000.00 | Facility | None | $363.08 | $467.74 | $1,000.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $218.78 Median $371.54 Typical High $1,819.70 | Professional | None (both parts) | $218.78 | $371.54 | $1,819.70 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | TC · Technical part | $1,862.09 | $1,862.09 | $1,862.09 |
Midlands Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $776.25 | Professional | None | $446.68 | $446.68 | $776.25 |
Midlands Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Midlands Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $478.63 | $478.63 | $478.63 |
United Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $933.25 | Facility | None | $363.08 | $363.08 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $741.31 | Professional | None (both parts) | $218.78 | $218.78 | $741.31 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $363.08 | $363.08 | $363.08 |
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 $141.25 Median $141.25 Typical High $218.78 | Professional | 52 · Reduced service | $141.25 | $141.25 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $87.10 | Professional | 53 · Discontinued | $56.23 | $56.23 | $87.10 |
Where Iowa sits
The same service costs 12.0 times more in Texas 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
$363
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.