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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,398.83 Typical High $2,951.21 | Professional | None | $2,089.30 | $2,398.83 | $2,951.21 |
Hally Health Setting Professional Modifier None Typical Low $851.14 Median $1,288.25 Typical High $6,309.57 | Professional | None | $851.14 | $1,288.25 | $6,309.57 |
Medica Setting Facility Modifier None Typical Low $1,995.26 Median $2,511.89 Typical High $4,168.69 | Facility | None | $1,995.26 | $2,511.89 | $4,168.69 |
Medica Setting Professional Modifier None Typical Low $1,000.00 Median $1,862.09 Typical High $11,481.54 | Professional | None | $1,000.00 | $1,862.09 | $11,481.54 |
Oscar Health Setting Professional Modifier None Typical Low $3,162.28 Median $3,630.78 Typical High $4,265.80 | Professional | None | $3,162.28 | $3,630.78 | $4,265.80 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $3,162.28 Typical High $3,981.07 | Facility | None | $1,862.09 | $3,162.28 | $3,981.07 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,288.25 Typical High $1,862.09 | Professional | None | $954.99 | $1,288.25 | $1,862.09 |
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 Facility Modifier 53 · Discontinued Typical Low $346.74 Median $1,071.52 Typical High $1,621.81 | Facility | 53 · Discontinued | $346.74 | $1,071.52 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $346.74 Typical High $354.81 | Professional | 53 · Discontinued | $218.78 | $346.74 | $354.81 |
Where Iowa sits
The same service costs 70.8 times more in Alaska than in New York. 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· 13th of 51
$1,995
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.