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 $36.31 Median $97.72 Typical High $131.83 | Facility | None | $36.31 | $97.72 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $56.23 | Professional | None | $30.90 | $36.31 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $89.13 Typical High $120.23 | Professional | None | $57.54 | $89.13 | $120.23 |
Hally Health Setting Professional Modifier None Typical Low $46.77 Median $60.26 Typical High $281.84 | Professional | None | $46.77 | $60.26 | $281.84 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $85.11 Typical High $120.23 | Facility | None | $46.77 | $85.11 | $120.23 |
Medica Setting Professional Modifier None Typical Low $28.18 Median $56.23 Typical High $234.42 | Professional | None | $28.18 | $56.23 | $234.42 |
Midlands Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $61.66 | Professional | None | $57.54 | $57.54 | $61.66 |
Oscar Health Setting Professional Modifier None Typical Low $46.77 Median $50.12 Typical High $100.00 | Professional | None | $46.77 | $50.12 | $100.00 |
United Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $120.23 | Facility | None | $46.77 | $46.77 | $120.23 |
United Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $104.71 | Professional | None | $28.18 | $28.18 | $104.71 |
Wellmark Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
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 $18.20 Median $18.20 Typical High $28.18 | Professional | 52 · Reduced service | $18.20 | $18.20 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $11.22 | Professional | 53 · Discontinued | $7.24 | $7.24 | $11.22 |
Where Iowa sits
The same service costs 3.7 times more in Alaska than in New Mexico. 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· 19th of 51
$52.48
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.