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 $144.54 Median $389.05 Typical High $524.81 | Facility | None | $144.54 | $389.05 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $223.87 | Professional | None | $123.03 | $144.54 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $354.81 Typical High $446.68 | Professional | None | $229.09 | $354.81 | $446.68 |
Hally Health Setting Professional Modifier None Typical Low $158.49 Median $309.03 Typical High $630.96 | Professional | None | $158.49 | $309.03 | $630.96 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $239.88 Typical High $478.63 | Facility | None | $186.21 | $239.88 | $478.63 |
Medica Setting Professional Modifier None Typical Low $112.20 Median $223.87 Typical High $933.25 | Professional | None | $112.20 | $223.87 | $933.25 |
Midlands Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $245.47 | Professional | None | $229.09 | $229.09 | $245.47 |
Oscar Health Setting Professional Modifier None Typical Low $186.21 Median $199.53 Typical High $398.11 | Professional | None | $186.21 | $199.53 | $398.11 |
United Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $478.63 | Facility | None | $186.21 | $186.21 | $478.63 |
United Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $380.19 | Professional | None | $112.20 | $112.20 | $380.19 |
Wellmark Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
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 $72.44 Median $72.44 Typical High $112.20 | Professional | 52 · Reduced service | $72.44 | $72.44 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $44.67 | Professional | 53 · Discontinued | $28.84 | $28.84 | $44.67 |
Where Iowa sits
The same service costs 4.5 times more in Texas than in Oklahoma. 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· 18th of 51
$195
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.