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 $151.36 Median $407.38 Typical High $549.54 | Facility | None | $151.36 | $407.38 | $549.54 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $234.42 | Professional | None | $128.82 | $151.36 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $371.54 Typical High $457.09 | Professional | None | $239.88 | $371.54 | $457.09 |
Hally Health Setting Professional Modifier None Typical Low $165.96 Median $316.23 Typical High $707.95 | Professional | None | $165.96 | $316.23 | $707.95 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $346.74 Typical High $489.78 | Facility | None | $194.98 | $346.74 | $489.78 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $234.42 Typical High $954.99 | Professional | None | $114.82 | $234.42 | $954.99 |
Midlands Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $257.04 | Professional | None | $239.88 | $239.88 | $257.04 |
Oscar Health Setting Professional Modifier None Typical Low $194.98 Median $208.93 Typical High $407.38 | Professional | None | $194.98 | $208.93 | $407.38 |
United Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $489.78 | Facility | None | $194.98 | $194.98 | $489.78 |
United Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $398.11 | Professional | None | $114.82 | $114.82 | $398.11 |
Wellmark Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None | $194.98 | $194.98 | $194.98 |
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 $75.86 Median $75.86 Typical High $114.82 | Professional | 52 · Reduced service | $75.86 | $75.86 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $46.77 | Professional | 53 · Discontinued | $30.20 | $30.20 | $46.77 |
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· 16th of 51
$204
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.