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 $1,047.13 Median $2,818.38 Typical High $3,801.89 | Facility | None | $1,047.13 | $2,818.38 | $3,801.89 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,047.13 Typical High $1,621.81 | Professional | None | $912.01 | $1,047.13 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $2,570.40 Typical High $3,235.94 | Professional | None | $1,548.82 | $2,570.40 | $3,235.94 |
Hally Health Setting Professional Modifier None Typical Low $1,479.11 Median $2,041.74 Typical High $2,511.89 | Professional | None | $1,479.11 | $2,041.74 | $2,511.89 |
Medica Setting Facility Modifier None Typical Low $1,348.96 Median $2,570.40 Typical High $6,456.54 | Facility | None | $1,348.96 | $2,570.40 | $6,456.54 |
Medica Setting Professional Modifier None Typical Low $812.83 Median $1,621.81 Typical High $6,760.83 | Professional | None | $812.83 | $1,621.81 | $6,760.83 |
Midlands Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,778.28 | Professional | None | $1,659.59 | $1,659.59 | $1,778.28 |
Oscar Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,445.44 Typical High $2,884.03 | Professional | None | $1,348.96 | $1,445.44 | $2,884.03 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $3,467.37 | Facility | None | $1,348.96 | $1,348.96 | $3,467.37 |
United Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $2,754.23 | Professional | None | $812.83 | $812.83 | $2,754.23 |
Wellmark Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
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 $524.81 Median $524.81 Typical High $812.83 | Professional | 52 · Reduced service | $524.81 | $524.81 | $812.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $323.59 | Professional | 53 · Discontinued | $208.93 | $208.93 | $323.59 |
Where Iowa sits
The same service costs 5.1 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· 14th of 51
$1,380
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.