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 $107.15 Median $288.40 Typical High $389.05 | Facility | None | $107.15 | $288.40 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $107.15 Typical High $165.96 | Professional | None | $91.20 | $107.15 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $263.03 Typical High $331.13 | Professional | None | $169.82 | $263.03 | $331.13 |
Hally Health Setting Professional Modifier None Typical Low $147.91 Median $204.17 Typical High $245.47 | Professional | None | $147.91 | $204.17 | $245.47 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $177.83 Typical High $346.74 | Facility | None | $138.04 | $177.83 | $346.74 |
Medica Setting Professional Modifier None Typical Low $81.28 Median $165.96 Typical High $691.83 | Professional | None | $81.28 | $165.96 | $691.83 |
Midlands Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $181.97 | Professional | None | $169.82 | $169.82 | $181.97 |
Oscar Health Setting Professional Modifier None Typical Low $138.04 Median $147.91 Typical High $295.12 | Professional | None | $138.04 | $147.91 | $295.12 |
United Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $346.74 | Facility | None | $138.04 | $138.04 | $346.74 |
United Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $281.84 | Professional | None | $81.28 | $81.28 | $281.84 |
Wellmark Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
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 $53.70 Median $53.70 Typical High $81.28 | Professional | 52 · Reduced service | $53.70 | $53.70 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $33.11 | Professional | 53 · Discontinued | $21.38 | $21.38 | $33.11 |
Where Iowa sits
The same service costs 5.5 times more in Texas 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· 18th of 51
$145
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.