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 $134.90 Median $363.08 Typical High $489.78 | Facility | None | $134.90 | $363.08 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $134.90 Typical High $208.93 | Professional | None | $117.49 | $134.90 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $331.13 Typical High $416.87 | Professional | None | $213.80 | $331.13 | $416.87 |
Hally Health Setting Professional Modifier None Typical Low $147.91 Median $218.78 Typical High $309.03 | Professional | None | $147.91 | $218.78 | $309.03 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $229.09 Typical High $389.05 | Facility | None | $173.78 | $229.09 | $389.05 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $208.93 Typical High $870.96 | Professional | None | $104.71 | $208.93 | $870.96 |
Midlands Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $229.09 | Professional | None | $213.80 | $213.80 | $229.09 |
Oscar Health Setting Professional Modifier None Typical Low $173.78 Median $190.55 Typical High $371.54 | Professional | None | $173.78 | $190.55 | $371.54 |
United Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $446.68 | Facility | None | $173.78 | $173.78 | $446.68 |
United Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $354.81 | Professional | None | $104.71 | $104.71 | $354.81 |
Wellmark Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
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 $67.61 Median $67.61 Typical High $104.71 | Professional | 52 · Reduced service | $67.61 | $67.61 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $41.69 | Professional | 53 · Discontinued | $27.54 | $27.54 | $41.69 |
Where Iowa sits
The same service costs 3.7 times more in Alaska 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· 16th of 51
$186
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.