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 $186.21 Median $501.19 Typical High $676.08 | Facility | None | $186.21 | $501.19 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $186.21 Typical High $288.40 | Professional | None | $158.49 | $186.21 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $457.09 Typical High $575.44 | Professional | None | $295.12 | $457.09 | $575.44 |
Hally Health Setting Professional Modifier None Typical Low $213.80 Median $295.12 Typical High $416.87 | Professional | None | $213.80 | $295.12 | $416.87 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $309.03 Typical High $549.54 | Facility | None | $234.42 | $309.03 | $549.54 |
Medica Setting Professional Modifier None Typical Low $141.25 Median $288.40 Typical High $1,202.26 | Professional | None | $141.25 | $288.40 | $1,202.26 |
Midlands Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $316.23 | Professional | None | $295.12 | $295.12 | $316.23 |
Oscar Health Setting Professional Modifier None Typical Low $239.88 Median $257.04 Typical High $512.86 | Professional | None | $239.88 | $257.04 | $512.86 |
United Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $602.56 | Facility | None | $239.88 | $239.88 | $602.56 |
United Setting Professional Modifier None Typical Low $100.00 Median $141.25 Typical High $436.52 | Professional | None | $100.00 | $141.25 | $436.52 |
Wellmark Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
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 $93.33 Median $93.33 Typical High $141.25 | Professional | 52 · Reduced service | $93.33 | $93.33 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $57.54 | Professional | 53 · Discontinued | $37.15 | $37.15 | $57.54 |
Wellmark Setting Professional Modifier 59 · Distinct service Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 59 · Distinct service | $239.88 | $239.88 | $239.88 |
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· 14th of 51
$251
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.