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 $128.82 Median $316.23 Typical High $467.74 | Facility | None | $128.82 | $316.23 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $128.82 Typical High $251.19 | Professional | None | $107.15 | $128.82 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $316.23 Typical High $457.09 | Professional | None | $199.53 | $316.23 | $457.09 |
Hally Health Setting Professional Modifier None Typical Low $162.18 Median $204.17 Typical High $398.11 | Professional | None | $162.18 | $204.17 | $398.11 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $323.59 Typical High $457.09 | Facility | None | $162.18 | $323.59 | $457.09 |
Medica Setting Professional Modifier None Typical Low $97.72 Median $194.98 Typical High $812.83 | Professional | None | $97.72 | $194.98 | $812.83 |
Midlands Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $218.78 | Professional | None | $199.53 | $199.53 | $218.78 |
Oscar Health Setting Professional Modifier None Typical Low $162.18 Median $177.83 Typical High $346.74 | Professional | None | $162.18 | $177.83 | $346.74 |
United Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $416.87 | Facility | None | $162.18 | $162.18 | $416.87 |
United Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $398.11 | Professional | None | $97.72 | $97.72 | $398.11 |
Wellmark Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
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 $64.57 Median $64.57 Typical High $97.72 | Professional | 52 · Reduced service | $64.57 | $64.57 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $38.90 | Professional | 53 · Discontinued | $25.70 | $25.70 | $38.90 |
Where Iowa sits
The same service costs 3.8 times more in Alaska than in Connecticut. 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· 15th of 51
$186
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.