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 $346.74 Median $933.25 Typical High $1,230.27 | Facility | None | $346.74 | $933.25 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $524.81 | Professional | None | $346.74 | $346.74 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $851.14 Typical High $1,047.13 | Professional | None | $537.03 | $851.14 | $1,047.13 |
Hally Health Setting Professional Modifier None Typical Low $436.52 Median $549.54 Typical High $776.25 | Professional | None | $436.52 | $549.54 | $776.25 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $575.44 Typical High $1,023.29 | Facility | None | $257.04 | $575.44 | $1,023.29 |
Medica Setting Professional Modifier None Typical Low $177.83 Median $524.81 Typical High $2,187.76 | Professional | None | $177.83 | $524.81 | $2,187.76 |
Midlands Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $575.44 | Professional | None | $537.03 | $537.03 | $575.44 |
Oscar Health Setting Professional Modifier None Typical Low $436.52 Median $478.63 Typical High $933.25 | Professional | None | $436.52 | $478.63 | $933.25 |
United Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $1,122.02 | Facility | None | $436.52 | $436.52 | $1,122.02 |
United Setting Professional Modifier None Typical Low $112.20 Median $263.03 Typical High $524.81 | Professional | None | $112.20 | $263.03 | $524.81 |
Wellmark Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
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 $169.82 Median $169.82 Typical High $263.03 | Professional | 52 · Reduced service | $169.82 | $169.82 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $104.71 | Professional | 53 · Discontinued | $69.18 | $69.18 | $104.71 |
Where Iowa sits
The same service costs 7.1 times more in Texas than in North Carolina. 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
$437
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.