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 $229.09 Median $616.60 Typical High $831.76 | Facility | None | $229.09 | $616.60 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $354.81 | Professional | None | $229.09 | $229.09 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $562.34 Typical High $707.95 | Professional | None | $363.08 | $562.34 | $707.95 |
Hally Health Setting Professional Modifier None Typical Low $251.19 Median $489.78 Typical High $851.14 | Professional | None | $251.19 | $489.78 | $851.14 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $380.19 Typical High $660.69 | Facility | None | $288.40 | $380.19 | $660.69 |
Medica Setting Professional Modifier None Typical Low $177.83 Median $354.81 Typical High $1,479.11 | Professional | None | $177.83 | $354.81 | $1,479.11 |
Midlands Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $389.05 | Professional | None | $363.08 | $363.08 | $389.05 |
Oscar Health Setting Professional Modifier None Typical Low $295.12 Median $323.59 Typical High $630.96 | Professional | None | $295.12 | $323.59 | $630.96 |
United Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $758.58 | Facility | None | $295.12 | $295.12 | $758.58 |
United Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $602.56 | Professional | None | $177.83 | $177.83 | $602.56 |
Wellmark Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
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 $114.82 Median $114.82 Typical High $177.83 | Professional | 52 · Reduced service | $114.82 | $114.82 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $70.79 | Professional | 53 · Discontinued | $45.71 | $45.71 | $70.79 |
Where Iowa sits
The same service costs 3.8 times more in Alaska than in Alabama. 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
$324
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.