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 $190.55 Median $512.86 Typical High $676.08 | Facility | None | $190.55 | $512.86 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $288.40 | Professional | None | $190.55 | $190.55 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $467.74 Typical High $660.69 | Professional | None | $295.12 | $467.74 | $660.69 |
Hally Health Setting Professional Modifier None Typical Low $204.17 Median $363.08 Typical High $512.86 | Professional | None | $204.17 | $363.08 | $512.86 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $323.59 Typical High $660.69 | Facility | None | $288.40 | $323.59 | $660.69 |
Medica Setting Professional Modifier None Typical Low $144.54 Median $288.40 Typical High $1,202.26 | Professional | None | $144.54 | $288.40 | $1,202.26 |
Midlands Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $316.23 | Professional | None | $295.12 | $295.12 | $316.23 |
Oscar Health Setting Professional Modifier None Typical Low $239.88 Median $263.03 Typical High $512.86 | Professional | None | $239.88 | $263.03 | $512.86 |
United Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $616.60 | Facility | None | $239.88 | $239.88 | $616.60 |
United Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $588.84 | Professional | None | $144.54 | $144.54 | $588.84 |
Wellmark Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
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 $93.33 Median $93.33 Typical High $144.54 | Professional | 52 · Reduced service | $93.33 | $93.33 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $57.54 | Professional | 53 · Discontinued | $38.02 | $38.02 | $57.54 |
Where Iowa sits
The same service costs 4.3 times more in Texas than in Delaware. 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· 14th of 51
$288
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.