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 $1,000.00 Median $2,691.53 Typical High $3,630.78 | Facility | None | $1,000.00 | $2,691.53 | $3,630.78 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $1,000.00 Typical High $1,548.82 | Professional | None | $870.96 | $1,000.00 | $1,548.82 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $2,454.71 Typical High $3,090.30 | Professional | None | $1,479.11 | $2,454.71 | $3,090.30 |
Hally Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,862.09 Typical High $2,238.72 | Professional | None | $1,348.96 | $1,862.09 | $2,238.72 |
Medica Setting Facility Modifier None Typical Low $1,288.25 Median $2,454.71 Typical High $6,165.95 | Facility | None | $1,288.25 | $2,454.71 | $6,165.95 |
Medica Setting Professional Modifier None Typical Low $776.25 Median $1,548.82 Typical High $6,456.54 | Professional | None | $776.25 | $1,548.82 | $6,456.54 |
Midlands Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,698.24 | Professional | None | $1,584.89 | $1,584.89 | $1,698.24 |
Oscar Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,380.38 Typical High $2,754.23 | Professional | None | $1,288.25 | $1,380.38 | $2,754.23 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $3,311.31 | Facility | None | $1,288.25 | $1,288.25 | $3,311.31 |
United Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $2,630.27 | Professional | None | $776.25 | $776.25 | $2,630.27 |
Wellmark Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
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 $501.19 Median $501.19 Typical High $776.25 | Professional | 52 · Reduced service | $501.19 | $501.19 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $309.03 | Professional | 53 · Discontinued | $199.53 | $199.53 | $309.03 |
Where Iowa sits
The same service costs 4.9 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
$1,318
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.