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 $269.15 Median $724.44 Typical High $977.24 | Facility | None | $269.15 | $724.44 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $416.87 | Professional | None | $269.15 | $269.15 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $660.69 Typical High $977.24 | Professional | None | $426.58 | $660.69 | $977.24 |
Hally Health Setting Professional Modifier None Typical Low $346.74 Median $436.52 Typical High $2,187.76 | Professional | None | $346.74 | $436.52 | $2,187.76 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $676.08 Typical High $977.24 | Facility | None | $346.74 | $676.08 | $977.24 |
Medica Setting Professional Modifier None Typical Low $208.93 Median $416.87 Typical High $1,737.80 | Professional | None | $208.93 | $416.87 | $1,737.80 |
Midlands Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $457.09 | Professional | None | $426.58 | $426.58 | $457.09 |
Oscar Health Setting Professional Modifier None Typical Low $346.74 Median $371.54 Typical High $741.31 | Professional | None | $346.74 | $371.54 | $741.31 |
United Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $891.25 | Facility | None | $346.74 | $346.74 | $891.25 |
United Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $831.76 | Professional | None | $208.93 | $208.93 | $831.76 |
Wellmark Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
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 $134.90 Median $134.90 Typical High $208.93 | Professional | 52 · Reduced service | $134.90 | $134.90 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $83.18 | Professional | 53 · Discontinued | $53.70 | $53.70 | $83.18 |
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· 22nd of 51
$380
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.