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 $162.18 Median $436.52 Typical High $588.84 | Facility | None | $162.18 | $436.52 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $162.18 Typical High $251.19 | Professional | None | $138.04 | $162.18 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $398.11 Typical High $588.84 | Professional | None | $257.04 | $398.11 | $588.84 |
Hally Health Setting Professional Modifier None Typical Low $208.93 Median $257.04 Typical High $645.65 | Professional | None | $208.93 | $257.04 | $645.65 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $407.38 Typical High $575.44 | Facility | None | $208.93 | $407.38 | $575.44 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $251.19 Typical High $1,047.13 | Professional | None | $125.89 | $251.19 | $1,047.13 |
Midlands Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $275.42 | Professional | None | $257.04 | $257.04 | $275.42 |
Oscar Health Setting Professional Modifier None Typical Low $208.93 Median $223.87 Typical High $446.68 | Professional | None | $208.93 | $223.87 | $446.68 |
United Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $537.03 | Facility | None | $208.93 | $208.93 | $537.03 |
United Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $501.19 | Professional | None | $125.89 | $125.89 | $501.19 |
Wellmark Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
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 $81.28 Median $81.28 Typical High $125.89 | Professional | 52 · Reduced service | $81.28 | $81.28 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $50.12 | Professional | 53 · Discontinued | $32.36 | $32.36 | $50.12 |
Where Iowa sits
The same service costs 5.1 times more in California than in Delaware. 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· 23rd of 51
$229
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.