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 $467.74 Median $1,258.93 Typical High $1,698.24 | Facility | None | $467.74 | $1,258.93 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $467.74 Typical High $724.44 | Professional | None | $398.11 | $467.74 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $1,148.15 Typical High $1,445.44 | Professional | None | $691.83 | $1,148.15 | $1,445.44 |
Hally Health Setting Professional Modifier None Typical Low $660.69 Median $977.24 Typical High $4,897.79 | Professional | None | $660.69 | $977.24 | $4,897.79 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $1,174.90 Typical High $2,818.38 | Facility | None | $602.56 | $1,174.90 | $2,818.38 |
Medica Setting Professional Modifier None Typical Low $354.81 Median $724.44 Typical High $3,019.95 | Professional | None | $354.81 | $724.44 | $3,019.95 |
Midlands Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $794.33 | Professional | None | $741.31 | $741.31 | $794.33 |
Oscar Health Setting Professional Modifier None Typical Low $602.56 Median $645.65 Typical High $1,288.25 | Professional | None | $602.56 | $645.65 | $1,288.25 |
United Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $1,513.56 | Facility | None | $602.56 | $602.56 | $1,513.56 |
United Setting Professional Modifier None Typical Low $354.81 Median $363.08 Typical High $1,230.27 | Professional | None | $354.81 | $363.08 | $1,230.27 |
Wellmark Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
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 $234.42 Median $234.42 Typical High $354.81 | Professional | 52 · Reduced service | $234.42 | $234.42 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $144.54 | Professional | 53 · Discontinued | $93.33 | $93.33 | $144.54 |
Where Iowa sits
The same service costs 3.8 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· 15th of 51
$631
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.