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 $28.84 Median $77.62 Typical High $102.33 | Facility | None | $28.84 | $77.62 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $28.84 Typical High $43.65 | Professional | None | $24.55 | $28.84 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $70.79 Typical High $87.10 | Professional | None | $44.67 | $70.79 | $87.10 |
Hally Health Setting Professional Modifier None Typical Low $40.74 Median $64.57 Typical High $151.36 | Professional | None | $40.74 | $64.57 | $151.36 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $69.18 Typical High $97.72 | Facility | None | $36.31 | $69.18 | $97.72 |
Medica Setting Professional Modifier None Typical Low $21.88 Median $43.65 Typical High $181.97 | Professional | None | $21.88 | $43.65 | $181.97 |
Midlands Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $47.86 | Professional | None | $44.67 | $44.67 | $47.86 |
Oscar Health Setting Professional Modifier None Typical Low $36.31 Median $39.81 Typical High $77.62 | Professional | None | $36.31 | $39.81 | $77.62 |
United Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $93.33 | Facility | None | $36.31 | $36.31 | $93.33 |
United Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $74.13 | Professional | None | $21.88 | $21.88 | $74.13 |
Wellmark Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
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 $14.13 Median $14.13 Typical High $21.88 | Professional | 52 · Reduced service | $14.13 | $14.13 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $8.71 | Professional | 53 · Discontinued | $5.75 | $5.75 | $8.71 |
Where Iowa sits
The same service costs 3.5 times more in California than in Nebraska. 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· 18th of 51
$39.81
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.