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 $3,890.45 Median $10,471.29 Typical High $14,125.38 | Facility | None | $3,890.45 | $10,471.29 | $14,125.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,890.45 Median $3,890.45 Typical High $6,025.60 | Professional | None (both parts) | $3,890.45 | $3,890.45 | $6,025.60 |
Cigna Setting Facility Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $6,025.60 | Facility | None | $6,025.60 | $6,025.60 | $6,025.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $5,754.40 Median $6,165.95 Typical High $12,022.64 | Professional | None (both parts) | $5,754.40 | $6,165.95 | $12,022.64 |
Hally Health Setting Professional Modifier None Typical Low $4,265.80 Median $6,456.54 Typical High $8,709.64 | Professional | None | $4,265.80 | $6,456.54 | $8,709.64 |
Medica Setting Facility Modifier None Typical Low $6,025.60 Median $10,232.93 Typical High $23,988.33 | Facility | None | $6,025.60 | $10,232.93 | $23,988.33 |
Medica Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $5,128.61 Typical High $25,118.86 | Professional | None (both parts) | $3,019.95 | $5,128.61 | $25,118.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $25,703.96 Median $25,703.96 Typical High $25,703.96 | Professional | TC · Technical part | $25,703.96 | $25,703.96 | $25,703.96 |
Midlands Setting Professional Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $10,964.78 | Professional | None | $6,165.95 | $6,165.95 | $10,964.78 |
Midlands Setting Facility Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $6,025.60 | Facility | None | $6,025.60 | $6,025.60 | $6,025.60 |
Midlands Setting Professional Modifier None (both parts) Typical Low $6,606.93 Median $6,606.93 Typical High $6,606.93 | Professional | None (both parts) | $6,606.93 | $6,606.93 | $6,606.93 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $5,011.87 Median $5,370.32 Typical High $10,715.19 | Professional | None (both parts) | $5,011.87 | $5,370.32 | $10,715.19 |
United Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $3,019.95 Typical High $10,232.93 | Professional | None (both parts) | $3,019.95 | $3,019.95 | $10,232.93 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None (both parts) | $5,011.87 | $5,011.87 | $5,011.87 |
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 $1,949.84 Median $1,949.84 Typical High $3,019.95 | Professional | 52 · Reduced service | $1,949.84 | $1,949.84 | $3,019.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $776.25 Median $776.25 Typical High $1,202.26 | Professional | 53 · Discontinued | $776.25 | $776.25 | $1,202.26 |
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· 12th of 51
$5,129
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.