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 $51.29 Median $138.04 Typical High $186.21 | Facility | None | $51.29 | $138.04 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $51.29 Typical High $77.62 | Professional | None | $43.65 | $51.29 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $125.89 Typical High $158.49 | Professional | None | $79.43 | $125.89 | $158.49 |
Hally Health Setting Professional Modifier None Typical Low $66.07 Median $89.13 Typical High $251.19 | Professional | None | $66.07 | $89.13 | $251.19 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $85.11 Typical High $151.36 | Facility | None | $66.07 | $85.11 | $151.36 |
Medica Setting Professional Modifier None Typical Low $38.90 Median $77.62 Typical High $323.59 | Professional | None | $38.90 | $77.62 | $323.59 |
Midlands Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $87.10 | Professional | None | $79.43 | $79.43 | $87.10 |
Oscar Health Setting Professional Modifier None Typical Low $66.07 Median $70.79 Typical High $138.04 | Professional | None | $66.07 | $70.79 | $138.04 |
United Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $165.96 | Facility | None | $66.07 | $66.07 | $165.96 |
United Setting Professional Modifier None Typical Low $35.48 Median $38.90 Typical High $123.03 | Professional | None | $35.48 | $38.90 | $123.03 |
Wellmark Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
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 $25.70 Median $25.70 Typical High $38.90 | Professional | 52 · Reduced service | $25.70 | $25.70 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $15.85 | Professional | 53 · Discontinued | $10.23 | $10.23 | $15.85 |
Where Iowa sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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
$70.79
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.