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 $85.11 Median $229.09 Typical High $309.03 | Facility | None | $85.11 | $229.09 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $169.82 | Professional | None | $72.44 | $85.11 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $208.93 Typical High $309.03 | Professional | None | $134.90 | $208.93 | $309.03 |
Hally Health Setting Professional Modifier None Typical Low $109.65 Median $141.25 Typical High $269.15 | Professional | None | $109.65 | $141.25 | $269.15 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $213.80 Typical High $309.03 | Facility | None | $109.65 | $213.80 | $309.03 |
Medica Setting Professional Modifier None Typical Low $66.07 Median $131.83 Typical High $549.54 | Professional | None | $66.07 | $131.83 | $549.54 |
Midlands Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $144.54 | Professional | None | $134.90 | $134.90 | $144.54 |
Oscar Health Setting Professional Modifier None Typical Low $109.65 Median $117.49 Typical High $234.42 | Professional | None | $109.65 | $117.49 | $234.42 |
United Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $281.84 | Facility | None | $109.65 | $109.65 | $281.84 |
United Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $263.03 | Professional | None | $66.07 | $66.07 | $263.03 |
Wellmark Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
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 $42.66 Median $42.66 Typical High $66.07 | Professional | 52 · Reduced service | $42.66 | $42.66 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $26.30 | Professional | 53 · Discontinued | $16.98 | $16.98 | $26.30 |
Where Iowa sits
The same service costs 3.9 times more in Alaska 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· 16th of 51
$132
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.