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 $37.15 Median $100.00 Typical High $134.90 | Facility | None | $37.15 | $100.00 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $37.15 Typical High $56.23 | Professional | None | $31.62 | $37.15 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $91.20 Typical High $112.20 | Professional | None | $57.54 | $91.20 | $112.20 |
Hally Health Setting Professional Modifier None Typical Low $52.48 Median $83.18 Typical High $154.88 | Professional | None | $52.48 | $83.18 | $154.88 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $89.13 Typical High $125.89 | Facility | None | $46.77 | $89.13 | $125.89 |
Medica Setting Professional Modifier None Typical Low $28.18 Median $56.23 Typical High $234.42 | Professional | None | $28.18 | $56.23 | $234.42 |
Midlands Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $63.10 | Professional | None | $57.54 | $57.54 | $63.10 |
Oscar Health Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $100.00 | Professional | None | $46.77 | $51.29 | $100.00 |
United Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $120.23 | Facility | None | $46.77 | $46.77 | $120.23 |
United Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $97.72 | Professional | None | $28.18 | $28.18 | $97.72 |
Wellmark Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
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 $18.62 Median $18.62 Typical High $28.18 | Professional | 52 · Reduced service | $18.62 | $18.62 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $11.22 | Professional | 53 · Discontinued | $7.41 | $7.41 | $11.22 |
Where Iowa sits
The same service costs 5.8 times more in Kansas 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· 23rd of 51
$51.29
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.