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 $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $15.14 | Professional | None | $14.13 | $14.13 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $19.50 Typical High $107.15 | Professional | None | $15.85 | $19.50 | $107.15 |
Hally Health Setting Professional Modifier None Typical Low $16.98 Median $38.90 Typical High $69.18 | Professional | None | $16.98 | $38.90 | $69.18 |
Medica Setting Facility Modifier None Typical Low $39.81 Median $102.33 Typical High $158.49 | Facility | None | $39.81 | $102.33 | $158.49 |
Medica Setting Professional Modifier None Typical Low $81.28 Median $112.20 Typical High $245.47 | Professional | None | $81.28 | $112.20 | $245.47 |
Midlands Setting Professional Modifier None Typical Low $16.60 Median $97.72 Typical High $97.72 | Professional | None | $16.60 | $97.72 | $97.72 |
United Setting Professional Modifier None Typical Low $77.62 Median $117.49 Typical High $204.17 | Professional | None | $77.62 | $117.49 | $204.17 |
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 $7.08 Median $7.08 Typical High $7.59 | Professional | 52 · Reduced service | $7.08 | $7.08 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $3.02 | Professional | 53 · Discontinued | $2.82 | $2.82 | $3.02 |
Where Iowa sits
The same service costs 19.1 times more in Nebraska than in Hawaii. 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
$102
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.