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 $45.71 Median $123.03 Typical High $165.96 | Facility | None | $45.71 | $123.03 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $45.71 Typical High $70.79 | Professional | None | $38.90 | $45.71 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $112.20 Typical High $141.25 | Professional | None | $72.44 | $112.20 | $141.25 |
Hally Health Setting Professional Modifier None Typical Low $64.57 Median $95.50 Typical High $147.91 | Professional | None | $64.57 | $95.50 | $147.91 |
Medica Setting Facility Modifier None Typical Low $58.88 Median $112.20 Typical High $147.91 | Facility | None | $58.88 | $112.20 | $147.91 |
Medica Setting Professional Modifier None Typical Low $35.48 Median $70.79 Typical High $295.12 | Professional | None | $35.48 | $70.79 | $295.12 |
Midlands Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $77.62 | Professional | None | $72.44 | $72.44 | $77.62 |
Oscar Health Setting Professional Modifier None Typical Low $58.88 Median $63.10 Typical High $125.89 | Professional | None | $58.88 | $63.10 | $125.89 |
United Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $151.36 | Facility | None | $58.88 | $58.88 | $151.36 |
United Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $120.23 | Professional | None | $35.48 | $35.48 | $120.23 |
Wellmark Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
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 $22.91 Median $22.91 Typical High $35.48 | Professional | 52 · Reduced service | $22.91 | $22.91 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $14.13 | Professional | 53 · Discontinued | $9.12 | $9.12 | $14.13 |
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
$63.10
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.