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 $346.74 Typical High $467.74 | Facility | None | $128.82 | $346.74 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $199.53 | Professional | None | $109.65 | $128.82 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $316.23 Typical High $398.11 | Professional | None | $204.17 | $316.23 | $398.11 |
Hally Health Setting Professional Modifier None Typical Low $165.96 Median $208.93 Typical High $295.12 | Professional | None | $165.96 | $208.93 | $295.12 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $239.88 Typical High $380.19 | Facility | None | $165.96 | $239.88 | $380.19 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $199.53 Typical High $831.76 | Professional | None | $100.00 | $199.53 | $831.76 |
Midlands Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $218.78 | Professional | None | $204.17 | $204.17 | $218.78 |
Oscar Health Setting Professional Modifier None Typical Low $165.96 Median $177.83 Typical High $354.81 | Professional | None | $165.96 | $177.83 | $354.81 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $426.58 | Facility | None | $165.96 | $165.96 | $426.58 |
United Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $338.84 | Professional | None | $100.00 | $100.00 | $338.84 |
Wellmark Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
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 $100.00 | Professional | 52 · Reduced service | $64.57 | $64.57 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $39.81 | Professional | 53 · Discontinued | $25.70 | $25.70 | $39.81 |
Where Iowa sits
The same service costs 3.7 times more in Alaska than in Florida. 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
$178
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.