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 $346.74 | Professional | None | $229.09 | $229.09 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $562.34 Typical High $691.83 | Professional | None | $354.81 | $562.34 | $691.83 |
Hally Health Setting Professional Modifier None Typical Low $245.47 Median $371.54 Typical High $524.81 | Professional | None | $245.47 | $371.54 | $524.81 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $380.19 Typical High $741.31 | Facility | None | $288.40 | $380.19 | $741.31 |
Medica Setting Professional Modifier None Typical Low $173.78 Median $346.74 Typical High $1,445.44 | Professional | None | $173.78 | $346.74 | $1,445.44 |
Midlands Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $389.05 | Professional | None | $354.81 | $354.81 | $389.05 |
Oscar Health Setting Professional Modifier None Typical Low $288.40 Median $316.23 Typical High $616.60 | Professional | None | $288.40 | $316.23 | $616.60 |
United Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $741.31 | Facility | None | $288.40 | $288.40 | $741.31 |
United Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $602.56 | Professional | None | $173.78 | $173.78 | $602.56 |
Wellmark Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
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 $173.78 | Professional | 52 · Reduced service | $114.82 | $114.82 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $69.18 | Professional | 53 · Discontinued | $45.71 | $45.71 | $69.18 |
Where Iowa sits
The same service costs 4.5 times more in Texas than in Delaware. 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· 18th of 51
$309
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.