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 $38.90 Median $104.71 Typical High $141.25 | Facility | None | $38.90 | $104.71 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $58.88 | Professional | None | $33.11 | $38.90 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $95.50 Typical High $138.04 | Professional | None | $61.66 | $95.50 | $138.04 |
Hally Health Setting Professional Modifier None Typical Low $50.12 Median $64.57 Typical High $229.09 | Professional | None | $50.12 | $64.57 | $229.09 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $97.72 Typical High $138.04 | Facility | None | $50.12 | $97.72 | $138.04 |
Medica Setting Professional Modifier None Typical Low $29.51 Median $58.88 Typical High $245.47 | Professional | None | $29.51 | $58.88 | $245.47 |
Midlands Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $66.07 | Professional | None | $61.66 | $61.66 | $66.07 |
Oscar Health Setting Professional Modifier None Typical Low $50.12 Median $53.70 Typical High $104.71 | Professional | None | $50.12 | $53.70 | $104.71 |
United Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $125.89 | Facility | None | $50.12 | $50.12 | $125.89 |
United Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $120.23 | Professional | None | $29.51 | $29.51 | $120.23 |
Wellmark Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
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 $19.50 Median $19.50 Typical High $29.51 | Professional | 52 · Reduced service | $19.50 | $19.50 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $12.02 | Professional | 53 · Discontinued | $7.76 | $7.76 | $12.02 |
Where Iowa sits
The same service costs 5.8 times more in Texas 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· 20th of 51
$56.23
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.