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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $77.62 Typical High $87.10 | Professional | None | $74.13 | $77.62 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $117.49 Typical High $158.49 | Professional | None | $33.88 | $117.49 | $158.49 |
Hally Health Setting Professional Modifier None Typical Low $63.10 Median $75.86 Typical High $91.20 | Professional | None | $63.10 | $75.86 | $91.20 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $154.88 Typical High $218.78 | Facility | None | $114.82 | $154.88 | $218.78 |
Medica Setting Professional Modifier None Typical Low $109.65 Median $154.88 Typical High $602.56 | Professional | None | $109.65 | $154.88 | $602.56 |
Midlands Setting Professional Modifier None Typical Low $95.50 Median $117.49 Typical High $117.49 | Professional | None | $95.50 | $117.49 | $117.49 |
Midlands Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $204.17 | Professional | None | $95.50 | $95.50 | $204.17 |
Oscar Health Setting Professional Modifier None Typical Low $295.12 Median $338.84 Typical High $398.11 | Professional | None | $295.12 | $338.84 | $398.11 |
United Setting Professional Modifier None Typical Low $81.28 Median $138.04 Typical High $281.84 | Professional | None | $81.28 | $138.04 | $281.84 |
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 $37.15 Median $38.90 Typical High $43.65 | Professional | 52 · Reduced service | $37.15 | $38.90 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $15.49 Typical High $17.38 | Professional | 53 · Discontinued | $14.79 | $15.49 | $17.38 |
Where Iowa sits
The same service costs 7.4 times more in North Carolina than in Rhode Island. 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· 20th of 51
$117
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.