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 $70.79 Median $190.55 Typical High $257.04 | Facility | None | $70.79 | $190.55 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $70.79 Typical High $109.65 | Professional | None | $61.66 | $70.79 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $173.78 Typical High $257.04 | Professional | None | $112.20 | $173.78 | $257.04 |
Hally Health Setting Professional Modifier None Typical Low $91.20 Median $120.23 Typical High $436.52 | Professional | None | $91.20 | $120.23 | $436.52 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $181.97 Typical High $257.04 | Facility | None | $91.20 | $181.97 | $257.04 |
Medica Setting Professional Modifier None Typical Low $54.95 Median $109.65 Typical High $457.09 | Professional | None | $54.95 | $109.65 | $457.09 |
Midlands Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $120.23 | Professional | None | $112.20 | $112.20 | $120.23 |
Oscar Health Setting Professional Modifier None Typical Low $91.20 Median $100.00 Typical High $194.98 | Professional | None | $91.20 | $100.00 | $194.98 |
United Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $234.42 | Facility | None | $91.20 | $91.20 | $234.42 |
United Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $223.87 | Professional | None | $54.95 | $54.95 | $223.87 |
Wellmark Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
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 $35.48 Median $35.48 Typical High $54.95 | Professional | 52 · Reduced service | $35.48 | $35.48 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $21.88 | Professional | 53 · Discontinued | $14.45 | $14.45 | $21.88 |
Where Iowa sits
The same service costs 3.2 times more in Alaska than in Connecticut. 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· 12th of 51
$110
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.