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 $263.03 Median $707.95 Typical High $954.99 | Facility | None | $263.03 | $707.95 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $407.38 | Professional | None | $263.03 | $263.03 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $645.65 Typical High $812.83 | Professional | None | $416.87 | $645.65 | $812.83 |
Hally Health Setting Professional Modifier None Typical Low $323.59 Median $426.58 Typical High $588.84 | Professional | None | $323.59 | $426.58 | $588.84 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $436.52 Typical High $776.25 | Facility | None | $186.21 | $436.52 | $776.25 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $407.38 Typical High $1,698.24 | Professional | None | $128.82 | $407.38 | $1,698.24 |
Midlands Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $446.68 | Professional | None | $416.87 | $416.87 | $446.68 |
Oscar Health Setting Professional Modifier None Typical Low $338.84 Median $363.08 Typical High $724.44 | Professional | None | $338.84 | $363.08 | $724.44 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $870.96 | Facility | None | $338.84 | $338.84 | $870.96 |
United Setting Professional Modifier None Typical Low $83.18 Median $204.17 Typical High $389.05 | Professional | None | $83.18 | $204.17 | $389.05 |
Wellmark Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
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 $131.83 Median $131.83 Typical High $204.17 | Professional | 52 · Reduced service | $131.83 | $131.83 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $81.28 | Professional | 53 · Discontinued | $52.48 | $52.48 | $81.28 |
Where Iowa sits
The same service costs 6.6 times more in Texas 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· 16th of 51
$339
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.