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 $154.88 Median $416.87 Typical High $562.34 | Facility | None | $154.88 | $416.87 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $154.88 Typical High $239.88 | Professional | None | $134.90 | $154.88 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $380.19 Typical High $478.63 | Professional | None | $245.47 | $380.19 | $478.63 |
Hally Health Setting Professional Modifier None Typical Low $169.82 Median $302.00 Typical High $389.05 | Professional | None | $169.82 | $302.00 | $389.05 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $380.19 Typical High $537.03 | Facility | None | $199.53 | $380.19 | $537.03 |
Medica Setting Professional Modifier None Typical Low $120.23 Median $239.88 Typical High $1,000.00 | Professional | None | $120.23 | $239.88 | $1,000.00 |
Midlands Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $263.03 | Professional | None | $245.47 | $245.47 | $263.03 |
Oscar Health Setting Professional Modifier None Typical Low $199.53 Median $218.78 Typical High $426.58 | Professional | None | $199.53 | $218.78 | $426.58 |
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $512.86 | Facility | None | $199.53 | $199.53 | $512.86 |
United Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $407.38 | Professional | None | $120.23 | $120.23 | $407.38 |
Wellmark Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None | $199.53 | $199.53 | $199.53 |
3 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 $77.62 Median $77.62 Typical High $120.23 | Professional | 52 · Reduced service | $77.62 | $77.62 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $47.86 | Professional | 53 · Discontinued | $30.90 | $30.90 | $47.86 |
Wellmark Setting Professional Modifier 59 · Distinct service Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 59 · Distinct service | $199.53 | $199.53 | $199.53 |
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
$219
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.