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 $707.95 Median $1,905.46 Typical High $2,570.40 | Facility | None | $707.95 | $1,905.46 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $1,096.48 | Professional | None | $707.95 | $707.95 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,737.80 Typical High $2,187.76 | Professional | None | $1,047.13 | $1,737.80 | $2,187.76 |
Hally Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,513.56 Typical High $3,311.31 | Professional | None | $1,000.00 | $1,513.56 | $3,311.31 |
Medica Setting Facility Modifier None Typical Low $912.01 Median $1,659.59 Typical High $4,365.16 | Facility | None | $912.01 | $1,659.59 | $4,365.16 |
Medica Setting Professional Modifier None Typical Low $549.54 Median $1,096.48 Typical High $4,570.88 | Professional | None | $549.54 | $1,096.48 | $4,570.88 |
Midlands Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,202.26 | Professional | None | $1,122.02 | $1,122.02 | $1,202.26 |
Oscar Health Setting Professional Modifier None Typical Low $912.01 Median $1,000.00 Typical High $1,949.84 | Professional | None | $912.01 | $1,000.00 | $1,949.84 |
United Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $2,344.23 | Facility | None | $912.01 | $912.01 | $2,344.23 |
United Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $1,862.09 | Professional | None | $549.54 | $549.54 | $1,862.09 |
Wellmark Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
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 $354.81 Median $354.81 Typical High $549.54 | Professional | 52 · Reduced service | $354.81 | $354.81 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $218.78 | Professional | 53 · Discontinued | $141.25 | $141.25 | $218.78 |
Where Iowa sits
The same service costs 3.7 times more in Alaska than in Maine. 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· 12th of 51
$933
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.