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 $57.54 Median $154.88 Typical High $208.93 | Facility | None | $57.54 | $154.88 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $87.10 | Professional | None | $48.98 | $57.54 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $141.25 Typical High $173.78 | Professional | None | $91.20 | $141.25 | $173.78 |
Hally Health Setting Professional Modifier None Typical Low $74.13 Median $109.65 Typical High $131.83 | Professional | None | $74.13 | $109.65 | $131.83 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $95.50 Typical High $162.18 | Facility | None | $75.86 | $95.50 | $162.18 |
Medica Setting Professional Modifier None Typical Low $43.65 Median $87.10 Typical High $363.08 | Professional | None | $43.65 | $87.10 | $363.08 |
Midlands Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $97.72 | Professional | None | $91.20 | $91.20 | $97.72 |
Oscar Health Setting Professional Modifier None Typical Low $74.13 Median $79.43 Typical High $154.88 | Professional | None | $74.13 | $79.43 | $154.88 |
United Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $186.21 | Facility | None | $74.13 | $74.13 | $186.21 |
United Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $154.88 | Professional | None | $43.65 | $43.65 | $154.88 |
Wellmark Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
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 $28.84 Median $28.84 Typical High $43.65 | Professional | 52 · Reduced service | $28.84 | $28.84 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $11.48 Typical High $17.78 | Professional | 53 · Discontinued | $11.48 | $11.48 | $17.78 |
Where Iowa sits
The same service costs 3.8 times more in Alaska 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· 19th of 51
$77.62
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.