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 $39.81 Median $107.15 Typical High $144.54 | Facility | None | $39.81 | $107.15 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $39.81 Typical High $61.66 | Professional | None | $34.67 | $39.81 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $97.72 Typical High $123.03 | Professional | None | $63.10 | $97.72 | $123.03 |
Hally Health Setting Professional Modifier None Typical Low $56.23 Median $89.13 Typical High $309.03 | Professional | None | $56.23 | $89.13 | $309.03 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $97.72 Typical High $138.04 | Facility | None | $51.29 | $97.72 | $138.04 |
Medica Setting Professional Modifier None Typical Low $30.90 Median $61.66 Typical High $257.04 | Professional | None | $30.90 | $61.66 | $257.04 |
Midlands Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $67.61 | Professional | None | $63.10 | $63.10 | $67.61 |
Oscar Health Setting Professional Modifier None Typical Low $51.29 Median $56.23 Typical High $109.65 | Professional | None | $51.29 | $56.23 | $109.65 |
United Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $131.83 | Facility | None | $51.29 | $51.29 | $131.83 |
United Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $104.71 | Professional | None | $30.90 | $30.90 | $104.71 |
Wellmark Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
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 $19.95 Median $19.95 Typical High $30.90 | Professional | 52 · Reduced service | $19.95 | $19.95 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $12.30 | Professional | 53 · Discontinued | $7.94 | $7.94 | $12.30 |
Where Iowa sits
The same service costs 6.0 times more in California 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· 24th of 51
$56.23
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.