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 $389.05 Median $1,047.13 Typical High $1,412.54 | Facility | None | $389.05 | $1,047.13 | $1,412.54 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $389.05 Typical High $602.56 | Professional | None | $338.84 | $389.05 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $954.99 Typical High $1,202.26 | Professional | None | $575.44 | $954.99 | $1,202.26 |
Hally Health Setting Professional Modifier None Typical Low $549.54 Median $831.76 Typical High $1,995.26 | Professional | None | $549.54 | $831.76 | $1,995.26 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $954.99 Typical High $2,398.83 | Facility | None | $501.19 | $954.99 | $2,398.83 |
Medica Setting Professional Modifier None Typical Low $302.00 Median $602.56 Typical High $2,511.89 | Professional | None | $302.00 | $602.56 | $2,511.89 |
Midlands Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $660.69 | Professional | None | $616.60 | $616.60 | $660.69 |
Oscar Health Setting Professional Modifier None Typical Low $501.19 Median $549.54 Typical High $1,071.52 | Professional | None | $501.19 | $549.54 | $1,071.52 |
United Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $1,288.25 | Facility | None | $501.19 | $501.19 | $1,288.25 |
United Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $1,023.29 | Professional | None | $302.00 | $302.00 | $1,023.29 |
Wellmark Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
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 $194.98 Median $194.98 Typical High $302.00 | Professional | 52 · Reduced service | $194.98 | $194.98 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $120.23 | Professional | 53 · Discontinued | $79.43 | $79.43 | $120.23 |
Where Iowa sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 17th of 51
$525
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.