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 $165.96 Median $446.68 Typical High $602.56 | Facility | None | $165.96 | $446.68 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $165.96 Typical High $257.04 | Professional | None | $144.54 | $165.96 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $407.38 Typical High $512.86 | Professional | None | $263.03 | $407.38 | $512.86 |
Hally Health Setting Professional Modifier None Typical Low $181.97 Median $257.04 Typical High $371.54 | Professional | None | $181.97 | $257.04 | $371.54 |
Medica Setting Facility Modifier None Typical Low $213.80 Median $275.42 Typical High $489.78 | Facility | None | $213.80 | $275.42 | $489.78 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $257.04 Typical High $1,071.52 | Professional | None | $128.82 | $257.04 | $1,071.52 |
Midlands Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $281.84 | Professional | None | $263.03 | $263.03 | $281.84 |
Oscar Health Setting Professional Modifier None Typical Low $213.80 Median $229.09 Typical High $457.09 | Professional | None | $213.80 | $229.09 | $457.09 |
United Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $549.54 | Facility | None | $213.80 | $213.80 | $549.54 |
United Setting Professional Modifier None Typical Low $91.20 Median $128.82 Typical High $398.11 | Professional | None | $91.20 | $128.82 | $398.11 |
Wellmark Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
3 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 $83.18 Median $83.18 Typical High $128.82 | Professional | 52 · Reduced service | $83.18 | $83.18 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $51.29 | Professional | 53 · Discontinued | $33.11 | $33.11 | $51.29 |
Wellmark Setting Professional Modifier 59 · Distinct service Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 59 · Distinct service | $213.80 | $213.80 | $213.80 |
Where Iowa sits
The same service costs 3.7 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· 15th of 51
$224
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.