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 $1,023.29 Median $2,754.23 Typical High $3,715.35 | Facility | None | $1,023.29 | $2,754.23 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $1,023.29 Typical High $1,548.82 | Professional | None | $537.03 | $1,023.29 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $537.03 Median $1,621.81 Typical High $3,090.30 | Professional | None | $537.03 | $1,621.81 | $3,090.30 |
Hally Health Setting Professional Modifier None Typical Low $977.24 Median $1,621.81 Typical High $2,290.87 | Professional | None | $977.24 | $1,621.81 | $2,290.87 |
Medica Setting Facility Modifier None Typical Low $524.81 Median $1,202.26 Typical High $6,165.95 | Facility | None | $524.81 | $1,202.26 | $6,165.95 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $977.24 Typical High $6,456.54 | Professional | None | $263.03 | $977.24 | $6,456.54 |
Midlands Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $575.44 | Professional | None | $537.03 | $537.03 | $575.44 |
Oscar Health Setting Professional Modifier None Typical Low $1,318.26 Median $1,412.54 Typical High $2,754.23 | Professional | None | $1,318.26 | $1,412.54 | $2,754.23 |
United Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $3,311.31 | Facility | None | $1,318.26 | $1,318.26 | $3,311.31 |
United Setting Professional Modifier None Typical Low $263.03 Median $363.08 Typical High $1,318.26 | Professional | None | $263.03 | $363.08 | $1,318.26 |
Wellmark Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
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 $426.58 Median $512.86 Typical High $776.25 | Professional | 52 · Reduced service | $426.58 | $512.86 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $204.17 Typical High $316.23 | Professional | 53 · Discontinued | $173.78 | $204.17 | $316.23 |
Where Iowa sits
The same service costs 5.2 times more in North Dakota 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· 6th of 51
$1,148
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.