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 $234.42 Median $630.96 Typical High $851.14 | Facility | None | $234.42 | $630.96 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $363.08 | Professional | None | $234.42 | $234.42 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $575.44 Typical High $724.44 | Professional | None | $371.54 | $575.44 | $724.44 |
Hally Health Setting Professional Modifier None Typical Low $257.04 Median $457.09 Typical High $676.08 | Professional | None | $257.04 | $457.09 | $676.08 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $389.05 Typical High $776.25 | Facility | None | $302.00 | $389.05 | $776.25 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $363.08 Typical High $1,513.56 | Professional | None | $181.97 | $363.08 | $1,513.56 |
Midlands Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $398.11 | Professional | None | $371.54 | $371.54 | $398.11 |
Oscar Health Setting Professional Modifier None Typical Low $302.00 Median $323.59 Typical High $645.65 | Professional | None | $302.00 | $323.59 | $645.65 |
United Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $776.25 | Facility | None | $302.00 | $302.00 | $776.25 |
United Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $616.60 | Professional | None | $181.97 | $181.97 | $616.60 |
Wellmark Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
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 $117.49 Median $117.49 Typical High $181.97 | Professional | 52 · Reduced service | $117.49 | $117.49 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $72.44 | Professional | 53 · Discontinued | $46.77 | $46.77 | $72.44 |
Where Iowa sits
The same service costs 4.7 times more in Texas 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· 18th of 51
$316
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.