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 $64.57 Median $173.78 Typical High $234.42 | Facility | None | $64.57 | $173.78 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $64.57 Typical High $100.00 | Professional | None | $56.23 | $64.57 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $158.49 Typical High $199.53 | Professional | None | $102.33 | $158.49 | $199.53 |
Hally Health Setting Professional Modifier None Typical Low $91.20 Median $144.54 Typical High $407.38 | Professional | None | $91.20 | $144.54 | $407.38 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $165.96 Typical High $194.98 | Facility | None | $83.18 | $165.96 | $194.98 |
Medica Setting Professional Modifier None Typical Low $50.12 Median $100.00 Typical High $416.87 | Professional | None | $50.12 | $100.00 | $416.87 |
Midlands Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $109.65 | Professional | None | $102.33 | $102.33 | $109.65 |
Oscar Health Setting Professional Modifier None Typical Low $83.18 Median $89.13 Typical High $177.83 | Professional | None | $83.18 | $89.13 | $177.83 |
United Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $213.80 | Facility | None | $83.18 | $83.18 | $213.80 |
United Setting Professional Modifier None Typical Low $44.67 Median $50.12 Typical High $154.88 | Professional | None | $44.67 | $50.12 | $154.88 |
Wellmark Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
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 $32.36 Median $32.36 Typical High $50.12 | Professional | 52 · Reduced service | $32.36 | $32.36 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $19.95 | Professional | 53 · Discontinued | $12.88 | $12.88 | $19.95 |
Where Iowa sits
The same service costs 3.4 times more in Alaska 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· 20th of 51
$89.13
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.