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 $295.12 Median $794.33 Typical High $1,071.52 | Facility | None | $295.12 | $794.33 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $446.68 | Professional | None | $295.12 | $295.12 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $724.44 Typical High $891.25 | Professional | None | $457.09 | $724.44 | $891.25 |
Hally Health Setting Professional Modifier None Typical Low $316.23 Median $467.74 Typical High $660.69 | Professional | None | $316.23 | $467.74 | $660.69 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $489.78 Typical High $831.76 | Facility | None | $371.54 | $489.78 | $831.76 |
Medica Setting Professional Modifier None Typical Low $223.87 Median $446.68 Typical High $1,862.09 | Professional | None | $223.87 | $446.68 | $1,862.09 |
Midlands Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $501.19 | Professional | None | $457.09 | $457.09 | $501.19 |
Oscar Health Setting Professional Modifier None Typical Low $371.54 Median $407.38 Typical High $794.33 | Professional | None | $371.54 | $407.38 | $794.33 |
United Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $954.99 | Facility | None | $371.54 | $371.54 | $954.99 |
United Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $776.25 | Professional | None | $223.87 | $223.87 | $776.25 |
Wellmark Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
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 $147.91 Median $147.91 Typical High $223.87 | Professional | 52 · Reduced service | $147.91 | $147.91 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $89.13 | Professional | 53 · Discontinued | $58.88 | $58.88 | $89.13 |
Where Iowa sits
The same service costs 6.5 times more in Texas than in Alabama. 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· 19th of 51
$398
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.