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 $0.02 Median $0.03 Typical High $0.04 | Facility | None | $0.02 | $0.03 | $0.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.45 Median $37.15 Typical High $46.77 | Professional | None (both parts) | $14.45 | $37.15 | $46.77 |
Hally Health Setting Professional Modifier None Typical Low $95.50 Median $100.00 Typical High $151.36 | Professional | None | $95.50 | $100.00 | $151.36 |
Medica Setting Facility Modifier None Typical Low $15.85 Median $43.65 Typical High $112.20 | Facility | None | $15.85 | $43.65 | $112.20 |
Medica Setting Professional Modifier None (both parts) Typical Low $13.18 Median $23.99 Typical High $54.95 | Professional | None (both parts) | $13.18 | $23.99 | $54.95 |
Midlands Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $36.31 | Professional | None | $16.60 | $16.60 | $36.31 |
United Setting Professional Modifier None (both parts) Typical Low $12.88 Median $13.18 Typical High $28.84 | Professional | None (both parts) | $12.88 | $13.18 | $28.84 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $13.80 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $13.80 | $17.78 | $17.78 |
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 |
|---|---|---|---|---|---|
Cigna Setting Facility Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | TC · Technical part | $51.29 | $51.29 | $51.29 |
Midlands Setting Facility Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | TC · Technical part | $51.29 | $51.29 | $51.29 |
Where Iowa sits
The same service costs 18.6 times more in Alaska than in Georgia. 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· 14th of 51
$22.39
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.