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 $97.72 Median $263.03 Typical High $354.81 | Facility | None | $97.72 | $263.03 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $97.72 Typical High $151.36 | Professional | None | $83.18 | $97.72 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $154.88 Median $239.88 Typical High $302.00 | Professional | None | $154.88 | $239.88 | $302.00 |
Hally Health Setting Professional Modifier None Typical Low $138.04 Median $204.17 Typical High $371.54 | Professional | None | $138.04 | $204.17 | $371.54 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $162.18 Typical High $275.42 | Facility | None | $123.03 | $162.18 | $275.42 |
Medica Setting Professional Modifier None Typical Low $74.13 Median $151.36 Typical High $630.96 | Professional | None | $74.13 | $151.36 | $630.96 |
Midlands Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $165.96 | Professional | None | $154.88 | $154.88 | $165.96 |
Oscar Health Setting Professional Modifier None Typical Low $125.89 Median $134.90 Typical High $269.15 | Professional | None | $125.89 | $134.90 | $269.15 |
United Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $316.23 | Facility | None | $125.89 | $125.89 | $316.23 |
United Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $257.04 | Professional | None | $74.13 | $74.13 | $257.04 |
Wellmark Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
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 $48.98 Median $48.98 Typical High $74.13 | Professional | 52 · Reduced service | $48.98 | $48.98 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $30.20 | Professional | 53 · Discontinued | $19.50 | $19.50 | $30.20 |
Where Iowa sits
The same service costs 4.5 times more in Alaska 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· 17th of 51
$135
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.