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 $213.80 Median $575.44 Typical High $776.25 | Facility | None | $213.80 | $575.44 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $331.13 | Professional | None | $213.80 | $213.80 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $524.81 Typical High $660.69 | Professional | None | $338.84 | $524.81 | $660.69 |
Hally Health Setting Professional Modifier None Typical Low $213.80 Median $346.74 Typical High $478.63 | Professional | None | $213.80 | $346.74 | $478.63 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $354.81 Typical High $707.95 | Facility | None | $275.42 | $354.81 | $707.95 |
Medica Setting Professional Modifier None Typical Low $165.96 Median $331.13 Typical High $1,380.38 | Professional | None | $165.96 | $331.13 | $1,380.38 |
Midlands Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $363.08 | Professional | None | $338.84 | $338.84 | $363.08 |
Oscar Health Setting Professional Modifier None Typical Low $275.42 Median $295.12 Typical High $588.84 | Professional | None | $275.42 | $295.12 | $588.84 |
United Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $707.95 | Facility | None | $275.42 | $275.42 | $707.95 |
United Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $562.34 | Professional | None | $165.96 | $165.96 | $562.34 |
Wellmark Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
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 $107.15 Median $107.15 Typical High $165.96 | Professional | 52 · Reduced service | $107.15 | $107.15 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $66.07 | Professional | 53 · Discontinued | $42.66 | $42.66 | $66.07 |
Where Iowa sits
The same service costs 3.7 times more in Alaska 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· 18th of 51
$288
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.