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 $316.23 Median $851.14 Typical High $1,148.15 | Facility | None | $316.23 | $851.14 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $478.63 | Professional | None | $316.23 | $316.23 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $776.25 Typical High $1,122.02 | Professional | None | $489.78 | $776.25 | $1,122.02 |
Hally Health Setting Professional Modifier None Typical Low $398.11 Median $501.19 Typical High $870.96 | Professional | None | $398.11 | $501.19 | $870.96 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $794.33 Typical High $1,122.02 | Facility | None | $398.11 | $794.33 | $1,122.02 |
Medica Setting Professional Modifier None Typical Low $239.88 Median $478.63 Typical High $1,995.26 | Professional | None | $239.88 | $478.63 | $1,995.26 |
Midlands Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $537.03 | Professional | None | $489.78 | $489.78 | $537.03 |
Oscar Health Setting Professional Modifier None Typical Low $398.11 Median $436.52 Typical High $851.14 | Professional | None | $398.11 | $436.52 | $851.14 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $1,023.29 | Facility | None | $398.11 | $398.11 | $1,023.29 |
United Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $977.24 | Professional | None | $239.88 | $239.88 | $977.24 |
Wellmark Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
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 $158.49 Median $158.49 Typical High $239.88 | Professional | 52 · Reduced service | $158.49 | $158.49 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $95.50 | Professional | 53 · Discontinued | $63.10 | $63.10 | $95.50 |
Where Iowa sits
The same service costs 3.8 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· 21st of 51
$447
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.