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 $117.49 Median $316.23 Typical High $426.58 | Facility | None | $117.49 | $316.23 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $117.49 Typical High $181.97 | Professional | None | $100.00 | $117.49 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $288.40 Typical High $363.08 | Professional | None | $186.21 | $288.40 | $363.08 |
Hally Health Setting Professional Modifier None Typical Low $165.96 Median $234.42 Typical High $281.84 | Professional | None | $165.96 | $234.42 | $281.84 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $269.15 Typical High $346.74 | Facility | None | $151.36 | $269.15 | $346.74 |
Medica Setting Professional Modifier None Typical Low $91.20 Median $181.97 Typical High $758.58 | Professional | None | $91.20 | $181.97 | $758.58 |
Midlands Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $199.53 | Professional | None | $186.21 | $186.21 | $199.53 |
Oscar Health Setting Professional Modifier None Typical Low $151.36 Median $162.18 Typical High $323.59 | Professional | None | $151.36 | $162.18 | $323.59 |
United Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $389.05 | Facility | None | $151.36 | $151.36 | $389.05 |
United Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $309.03 | Professional | None | $91.20 | $91.20 | $309.03 |
Wellmark Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
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 $58.88 Median $58.88 Typical High $91.20 | Professional | 52 · Reduced service | $58.88 | $58.88 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $36.31 | Professional | 53 · Discontinued | $23.44 | $23.44 | $36.31 |
Where Iowa sits
The same service costs 5.4 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· 18th of 51
$162
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.