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 $95.50 Median $257.04 Typical High $346.74 | Facility | None | $95.50 | $257.04 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $147.91 | Professional | None | $81.28 | $95.50 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $234.42 Typical High $295.12 | Professional | None | $151.36 | $234.42 | $295.12 |
Hally Health Setting Professional Modifier None Typical Low $112.20 Median $162.18 Typical High $218.78 | Professional | None | $112.20 | $162.18 | $218.78 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $158.49 Typical High $316.23 | Facility | None | $147.91 | $158.49 | $316.23 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $147.91 Typical High $616.60 | Professional | None | $74.13 | $147.91 | $616.60 |
Midlands Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $162.18 | Professional | None | $151.36 | $151.36 | $162.18 |
Oscar Health Setting Professional Modifier None Typical Low $123.03 Median $131.83 Typical High $263.03 | Professional | None | $123.03 | $131.83 | $263.03 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $316.23 | Facility | None | $123.03 | $123.03 | $316.23 |
United Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $295.12 | Professional | None | $74.13 | $74.13 | $295.12 |
Wellmark Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
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 $47.86 Median $47.86 Typical High $74.13 | Professional | 52 · Reduced service | $47.86 | $47.86 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $29.51 | Professional | 53 · Discontinued | $19.05 | $19.05 | $29.51 |
Where Iowa sits
The same service costs 4.4 times more in Alaska than in Alabama. 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· 19th of 51
$135
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.