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 $138.04 Median $371.54 Typical High $489.78 | Facility | None | $138.04 | $371.54 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $208.93 | Professional | None | $117.49 | $138.04 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $338.84 Typical High $416.87 | Professional | None | $213.80 | $338.84 | $416.87 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $288.40 Typical High $645.65 | Professional | None | $151.36 | $288.40 | $645.65 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $309.03 Typical High $446.68 | Facility | None | $173.78 | $309.03 | $446.68 |
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 $234.42 | Professional | None | $213.80 | $213.80 | $234.42 |
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 $363.08 | Professional | None | $104.71 | $104.71 | $363.08 |
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 $69.18 Median $69.18 Typical High $104.71 | Professional | 52 · Reduced service | $69.18 | $69.18 | $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 8.3 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
$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.