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 $1,479.11 Median $3,981.07 Typical High $5,370.32 | Facility | None | $1,479.11 | $3,981.07 | $5,370.32 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,479.11 Typical High $2,290.87 | Professional | None (both parts) | $1,479.11 | $1,479.11 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $2,344.23 Typical High $4,570.88 | Professional | None (both parts) | $2,187.76 | $2,344.23 | $4,570.88 |
Hally Health Setting Professional Modifier None Typical Low $1,621.81 Median $2,454.71 Typical High $3,311.31 | Professional | None | $1,621.81 | $2,454.71 | $3,311.31 |
Medica Setting Facility Modifier None Typical Low $2,290.87 Median $3,890.45 Typical High $9,120.11 | Facility | None | $2,290.87 | $3,890.45 | $9,120.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,949.84 Typical High $9,549.93 | Professional | None (both parts) | $1,148.15 | $1,949.84 | $9,549.93 |
Medica Setting Professional Modifier TC · Technical part Typical Low $9,772.37 Median $9,772.37 Typical High $9,772.37 | Professional | TC · Technical part | $9,772.37 | $9,772.37 | $9,772.37 |
Midlands Setting Professional Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $4,168.69 | Professional | None | $2,344.23 | $2,344.23 | $4,168.69 |
Midlands Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Midlands Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None (both parts) | $2,511.89 | $2,511.89 | $2,511.89 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $2,041.74 Typical High $4,073.80 | Professional | None (both parts) | $1,905.46 | $2,041.74 | $4,073.80 |
United Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,148.15 Typical High $3,890.45 | Professional | None (both parts) | $1,148.15 | $1,148.15 | $3,890.45 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | None (both parts) | $1,905.46 | $1,905.46 | $1,905.46 |
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 $741.31 Median $741.31 Typical High $1,148.15 | Professional | 52 · Reduced service | $741.31 | $741.31 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $457.09 | Professional | 53 · Discontinued | $295.12 | $295.12 | $457.09 |
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· 10th of 51
$1,950
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.