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 $138.04 Median $371.54 Typical High $501.19 | Facility | None | $138.04 | $371.54 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $213.80 | Professional | None | $117.49 | $138.04 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $338.84 Typical High $501.19 | Professional | None | $218.78 | $338.84 | $501.19 |
Hally Health Setting Professional Modifier None Typical Low $177.83 Median $223.87 Typical High $588.84 | Professional | None | $177.83 | $223.87 | $588.84 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $346.74 Typical High $501.19 | Facility | None | $177.83 | $346.74 | $501.19 |
Medica Setting Professional Modifier None Typical Low $107.15 Median $213.80 Typical High $891.25 | Professional | None | $107.15 | $213.80 | $891.25 |
Midlands Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $234.42 | Professional | None | $218.78 | $218.78 | $234.42 |
Oscar Health Setting Professional Modifier None Typical Low $177.83 Median $190.55 Typical High $380.19 | Professional | None | $177.83 | $190.55 | $380.19 |
United Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $457.09 | Facility | None | $177.83 | $177.83 | $457.09 |
United Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $426.58 | Professional | None | $107.15 | $107.15 | $426.58 |
Wellmark Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
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 $69.18 Median $69.18 Typical High $107.15 | Professional | 52 · Reduced service | $69.18 | $69.18 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $42.66 | Professional | 53 · Discontinued | $27.54 | $27.54 | $42.66 |
Where Iowa sits
The same service costs 3.4 times more in Alaska 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· 22nd of 51
$195
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.