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 $69.18 Median $186.21 Typical High $251.19 | Facility | None | $69.18 | $186.21 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $69.18 Typical High $104.71 | Professional | None | $58.88 | $69.18 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $169.82 Typical High $213.80 | Professional | None | $109.65 | $169.82 | $213.80 |
Hally Health Setting Professional Modifier None Typical Low $97.72 Median $151.36 Typical High $269.15 | Professional | None | $97.72 | $151.36 | $269.15 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $158.49 Typical High $204.17 | Facility | None | $89.13 | $158.49 | $204.17 |
Medica Setting Professional Modifier None Typical Low $52.48 Median $104.71 Typical High $436.52 | Professional | None | $52.48 | $104.71 | $436.52 |
Midlands Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $117.49 | Professional | None | $109.65 | $109.65 | $117.49 |
Oscar Health Setting Professional Modifier None Typical Low $89.13 Median $95.50 Typical High $186.21 | Professional | None | $89.13 | $95.50 | $186.21 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $223.87 | Facility | None | $89.13 | $89.13 | $223.87 |
United Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $181.97 | Professional | None | $52.48 | $52.48 | $181.97 |
Wellmark Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None | $89.13 | $89.13 | $89.13 |
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 $34.67 Median $34.67 Typical High $52.48 | Professional | 52 · Reduced service | $34.67 | $34.67 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $21.38 | Professional | 53 · Discontinued | $13.80 | $13.80 | $21.38 |
Where Iowa sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 15th of 51
$95.50
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.