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 $707.95 Median $1,905.46 Typical High $2,570.40 | Facility | None | $707.95 | $1,905.46 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $707.95 Typical High $1,071.52 | Professional | None | $602.56 | $707.95 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $1,096.48 Median $1,737.80 Typical High $2,137.96 | Professional | None | $1,096.48 | $1,737.80 | $2,137.96 |
Hally Health Setting Professional Modifier None Typical Low $758.58 Median $1,348.96 Typical High $2,137.96 | Professional | None | $758.58 | $1,348.96 | $2,137.96 |
Medica Setting Facility Modifier None Typical Low $891.25 Median $1,584.89 Typical High $2,089.30 | Facility | None | $891.25 | $1,584.89 | $2,089.30 |
Medica Setting Professional Modifier None Typical Low $537.03 Median $1,071.52 Typical High $4,466.84 | Professional | None | $537.03 | $1,071.52 | $4,466.84 |
Midlands Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,202.26 | Professional | None | $1,096.48 | $1,096.48 | $1,202.26 |
Oscar Health Setting Professional Modifier None Typical Low $891.25 Median $977.24 Typical High $1,905.46 | Professional | None | $891.25 | $977.24 | $1,905.46 |
United Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $2,290.87 | Facility | None | $891.25 | $891.25 | $2,290.87 |
United Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $1,862.09 | Professional | None | $537.03 | $537.03 | $1,862.09 |
Wellmark Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
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 $354.81 Median $354.81 Typical High $537.03 | Professional | 52 · Reduced service | $354.81 | $354.81 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $213.80 | Professional | 53 · Discontinued | $141.25 | $141.25 | $213.80 |
Where Iowa sits
The same service costs 5.1 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· 14th of 51
$977
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.