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 $8,128.31 Typical High $9,772.37 | Facility | None | $3,890.45 | $8,128.31 | $9,772.37 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,290.87 Median $4,168.69 Typical High $9,772.37 | Professional | None (both parts) | $2,290.87 | $4,168.69 | $9,772.37 |
Cigna Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Facility | None | $4,168.69 | $4,168.69 | $4,168.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,981.07 Median $4,265.80 Typical High $8,317.64 | Professional | None (both parts) | $3,981.07 | $4,265.80 | $8,317.64 |
Hally Health Setting Professional Modifier None Typical Low $2,951.21 Median $4,466.84 Typical High $6,025.60 | Professional | None | $2,951.21 | $4,466.84 | $6,025.60 |
Medica Setting Facility Modifier None Typical Low $4,168.69 Median $5,248.07 Typical High $16,218.10 | Facility | None | $4,168.69 | $5,248.07 | $16,218.10 |
Medica Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $3,548.13 Typical High $16,982.44 | Professional | None (both parts) | $2,041.74 | $3,548.13 | $16,982.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $17,782.79 Median $17,782.79 Typical High $17,782.79 | Professional | TC · Technical part | $17,782.79 | $17,782.79 | $17,782.79 |
Midlands Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $5,370.32 | Professional | None | $4,265.80 | $4,265.80 | $5,370.32 |
Midlands Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Facility | None | $4,168.69 | $4,168.69 | $4,168.69 |
Midlands Setting Professional Modifier None (both parts) Typical Low $4,570.88 Median $4,570.88 Typical High $4,570.88 | Professional | None (both parts) | $4,570.88 | $4,570.88 | $4,570.88 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $3,715.35 Typical High $7,244.36 | Professional | None (both parts) | $3,467.37 | $3,715.35 | $7,244.36 |
United Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $2,041.74 Typical High $7,079.46 | Professional | None (both parts) | $2,041.74 | $2,041.74 | $7,079.46 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None (both parts) | $3,467.37 | $3,467.37 | $3,467.37 |
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 $1,348.96 Median $1,348.96 Typical High $2,041.74 | Professional | 52 · Reduced service | $1,348.96 | $1,348.96 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $537.03 Typical High $831.76 | Professional | 53 · Discontinued | $537.03 | $537.03 | $831.76 |
Where Iowa sits
The same service costs 35.5 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
$3,715
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.