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 $239.88 Median $645.65 Typical High $870.96 | Facility | None | $239.88 | $645.65 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $371.54 | Professional | None | $239.88 | $239.88 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $588.84 Typical High $741.31 | Professional | None | $380.19 | $588.84 | $741.31 |
Hally Health Setting Professional Modifier None Typical Low $263.03 Median $457.09 Typical High $549.54 | Professional | None | $263.03 | $457.09 | $549.54 |
Medica Setting Facility Modifier None Typical Low $309.03 Median $549.54 Typical High $794.33 | Facility | None | $309.03 | $549.54 | $794.33 |
Medica Setting Professional Modifier None Typical Low $186.21 Median $371.54 Typical High $1,548.82 | Professional | None | $186.21 | $371.54 | $1,548.82 |
Midlands Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $407.38 | Professional | None | $380.19 | $380.19 | $407.38 |
Oscar Health Setting Professional Modifier None Typical Low $309.03 Median $331.13 Typical High $660.69 | Professional | None | $309.03 | $331.13 | $660.69 |
United Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $794.33 | Facility | None | $309.03 | $309.03 | $794.33 |
United Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $630.96 | Professional | None | $186.21 | $186.21 | $630.96 |
Wellmark Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
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 $120.23 Median $120.23 Typical High $186.21 | Professional | 52 · Reduced service | $120.23 | $120.23 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $74.13 | Professional | 53 · Discontinued | $47.86 | $47.86 | $74.13 |
Where Iowa sits
The same service costs 4.6 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· 16th of 51
$324
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.