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 $891.25 Median $1,905.46 Typical High $2,238.72 | Facility | None | $891.25 | $1,905.46 | $2,238.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $776.25 Typical High $2,238.72 | Professional | None (both parts) | $524.81 | $776.25 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $977.24 Typical High $1,905.46 | Professional | None (both parts) | $912.01 | $977.24 | $1,905.46 |
Hally Health Setting Professional Modifier None Typical Low $676.08 Median $1,023.29 Typical High $1,380.38 | Professional | None | $676.08 | $1,023.29 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $1,023.29 Typical High $2,187.76 | Facility | None | $794.33 | $1,023.29 | $2,187.76 |
Medica Setting Professional Modifier None (both parts) Typical Low $478.63 Median $812.83 Typical High $3,981.07 | Professional | None (both parts) | $478.63 | $812.83 | $3,981.07 |
Medica Setting Professional Modifier TC · Technical part Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | TC · Technical part | $4,073.80 | $4,073.80 | $4,073.80 |
Midlands Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,737.80 | Professional | None | $977.24 | $977.24 | $1,737.80 |
Midlands Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Midlands Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $1,047.13 | $1,047.13 | $1,047.13 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $794.33 Median $851.14 Typical High $1,698.24 | Professional | None (both parts) | $794.33 | $851.14 | $1,698.24 |
United Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $2,041.74 | Facility | None | $794.33 | $794.33 | $2,041.74 |
United Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $1,621.81 | Professional | None (both parts) | $478.63 | $478.63 | $1,621.81 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None (both parts) | $794.33 | $794.33 | $794.33 |
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 $309.03 Median $309.03 Typical High $478.63 | Professional | 52 · Reduced service | $309.03 | $309.03 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $190.55 | Professional | 53 · Discontinued | $123.03 | $123.03 | $190.55 |
Where Iowa sits
The same service costs 12.0 times more in Texas 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· 10th of 51
$851
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.