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 $524.81 Median $1,412.54 Typical High $1,905.46 | Facility | None | $524.81 | $1,412.54 | $1,905.46 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $812.83 | Professional | None | $524.81 | $524.81 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,288.25 Typical High $1,621.81 | Professional | None | $831.76 | $1,288.25 | $1,621.81 |
Hally Health Setting Professional Modifier None Typical Low $575.44 Median $1,122.02 Typical High $2,570.40 | Professional | None | $575.44 | $1,122.02 | $2,570.40 |
Medica Setting Facility Modifier None Typical Low $707.95 Median $870.96 Typical High $1,513.56 | Facility | None | $707.95 | $870.96 | $1,513.56 |
Medica Setting Professional Modifier None Typical Low $407.38 Median $812.83 Typical High $3,388.44 | Professional | None | $407.38 | $812.83 | $3,388.44 |
Midlands Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $891.25 | Professional | None | $831.76 | $831.76 | $891.25 |
Oscar Health Setting Professional Modifier None Typical Low $676.08 Median $724.44 Typical High $1,445.44 | Professional | None | $676.08 | $724.44 | $1,445.44 |
United Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $1,737.80 | Facility | None | $676.08 | $676.08 | $1,737.80 |
United Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $1,445.44 | Professional | None | $407.38 | $407.38 | $1,445.44 |
Wellmark Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
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 $263.03 Median $263.03 Typical High $407.38 | Professional | 52 · Reduced service | $263.03 | $263.03 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $162.18 | Professional | 53 · Discontinued | $104.71 | $104.71 | $162.18 |
Where Iowa sits
The same service costs 3.8 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· 19th of 51
$724
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.