How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $162.18 Median $2,630.27 Typical High $6,760.83 | Facility | None | $162.18 | $2,630.27 | $6,760.83 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $117.49 Typical High $181.97 | Professional | None | $72.44 | $117.49 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $120.23 Typical High $144.54 | Facility | None | $95.50 | $120.23 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $251.19 Typical High $323.59 | Professional | None | $181.97 | $251.19 | $323.59 |
Hally Health Setting Professional Modifier None Typical Low $74.13 Median $169.82 Typical High $380.19 | Professional | None | $74.13 | $169.82 | $380.19 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $316.23 Typical High $2,884.03 | Facility | None | $144.54 | $316.23 | $2,884.03 |
Medica Setting Professional Modifier None Typical Low $165.96 Median $251.19 Typical High $575.44 | Professional | None | $165.96 | $251.19 | $575.44 |
Midlands Setting Professional Modifier None Typical Low $181.97 Median $263.03 Typical High $323.59 | Professional | None | $181.97 | $263.03 | $323.59 |
Midlands Setting Facility Modifier None Typical Low $89.13 Median $123.03 Typical High $147.91 | Facility | None | $89.13 | $123.03 | $147.91 |
Midlands Setting Professional Modifier None Typical Low $158.49 Median $245.47 Typical High $363.08 | Professional | None | $158.49 | $245.47 | $363.08 |
United Setting Facility Modifier None Typical Low $501.19 Median $1,819.70 Typical High $4,073.80 | Facility | None | $501.19 | $1,819.70 | $4,073.80 |
United Setting Professional Modifier None Typical Low $89.13 Median $177.83 Typical High $316.23 | Professional | None | $89.13 | $177.83 | $316.23 |
Wellmark Setting Professional Modifier None Typical Low $144.54 Median $169.82 Typical High $281.84 | Professional | None | $144.54 | $169.82 | $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 $39.81 Median $58.88 Typical High $87.10 | Professional | 52 · Reduced service | $39.81 | $58.88 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $23.99 Typical High $35.48 | Professional | 53 · Discontinued | $16.22 | $23.99 | $35.48 |
Where Iowa sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 4th of 51
$219
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.