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 $50.12 Median $134.90 Typical High $181.97 | Facility | None | $50.12 | $134.90 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $50.12 Typical High $77.62 | Professional | None | $42.66 | $50.12 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $123.03 Typical High $154.88 | Professional | None | $79.43 | $123.03 | $154.88 |
Hally Health Setting Professional Modifier None Typical Low $70.79 Median $112.20 Typical High $288.40 | Professional | None | $70.79 | $112.20 | $288.40 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $123.03 Typical High $147.91 | Facility | None | $64.57 | $123.03 | $147.91 |
Medica Setting Professional Modifier None Typical Low $38.02 Median $77.62 Typical High $316.23 | Professional | None | $38.02 | $77.62 | $316.23 |
Midlands Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $85.11 | Professional | None | $79.43 | $79.43 | $85.11 |
Oscar Health Setting Professional Modifier None Typical Low $64.57 Median $69.18 Typical High $134.90 | Professional | None | $64.57 | $69.18 | $134.90 |
United Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $162.18 | Facility | None | $64.57 | $64.57 | $162.18 |
United Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $131.83 | Professional | None | $38.02 | $38.02 | $131.83 |
Wellmark Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
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 $25.12 Median $25.12 Typical High $38.02 | Professional | 52 · Reduced service | $25.12 | $25.12 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $15.49 | Professional | 53 · Discontinued | $10.00 | $10.00 | $15.49 |
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· 13th of 51
$69.18
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.