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 $131.83 Median $263.03 Typical High $478.63 | Facility | None | $131.83 | $263.03 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $131.83 Typical High $204.17 | Professional | None | $114.82 | $131.83 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $323.59 Typical High $407.38 | Professional | None | $208.93 | $323.59 | $407.38 |
Hally Health Setting Professional Modifier None Typical Low $169.82 Median $213.80 Typical High $363.08 | Professional | None | $169.82 | $213.80 | $363.08 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $218.78 Typical High $389.05 | Facility | None | $169.82 | $218.78 | $389.05 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $204.17 Typical High $851.14 | Professional | None | $102.33 | $204.17 | $851.14 |
Midlands Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $223.87 | Professional | None | $208.93 | $208.93 | $223.87 |
Oscar Health Setting Professional Modifier None Typical Low $169.82 Median $181.97 Typical High $363.08 | Professional | None | $169.82 | $181.97 | $363.08 |
United Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $436.52 | Facility | None | $169.82 | $169.82 | $436.52 |
United Setting Professional Modifier None Typical Low $77.62 Median $102.33 Typical High $316.23 | Professional | None | $77.62 | $102.33 | $316.23 |
Wellmark Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
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 $66.07 Median $66.07 Typical High $102.33 | Professional | 52 · Reduced service | $66.07 | $66.07 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $40.74 | Professional | 53 · Discontinued | $26.30 | $26.30 | $40.74 |
Where Iowa sits
The same service costs 3.5 times more in Alaska than in North Carolina. 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
$182
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.