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 $933.25 Median $2,511.89 Typical High $3,388.44 | Facility | None | $933.25 | $2,511.89 | $3,388.44 |
Aetna Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,445.44 | Professional | None | $933.25 | $933.25 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $2,290.87 Typical High $2,884.03 | Professional | None | $1,412.54 | $2,290.87 | $2,884.03 |
Hally Health Setting Professional Modifier None Typical Low $1,023.29 Median $1,778.28 Typical High $2,187.76 | Professional | None | $1,023.29 | $1,778.28 | $2,187.76 |
Medica Setting Facility Modifier None Typical Low $1,202.26 Median $1,548.82 Typical High $2,951.21 | Facility | None | $1,202.26 | $1,548.82 | $2,951.21 |
Medica Setting Professional Modifier None Typical Low $691.83 Median $1,380.38 Typical High $6,025.60 | Professional | None | $691.83 | $1,380.38 | $6,025.60 |
Midlands Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
Oscar Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,288.25 Typical High $2,570.40 | Professional | None | $1,202.26 | $1,288.25 | $2,570.40 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $3,090.30 | Facility | None | $1,202.26 | $1,202.26 | $3,090.30 |
United Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $2,398.83 | Professional | None | $691.83 | $691.83 | $2,398.83 |
Wellmark Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
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 $467.74 Median $467.74 Typical High $724.44 | Professional | 52 · Reduced service | $467.74 | $467.74 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $186.21 Typical High $288.40 | Professional | 53 · Discontinued | $186.21 | $186.21 | $288.40 |
Where Iowa sits
The same service costs 5.4 times more in Alaska 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· 14th of 51
$1,202
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.