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 $660.69 Median $1,778.28 Typical High $2,398.83 | Facility | None | $660.69 | $1,778.28 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $660.69 Typical High $1,000.00 | Professional | None | $562.34 | $660.69 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,202.26 Typical High $1,995.26 | Professional | None | $954.99 | $1,202.26 | $1,995.26 |
Hally Health Setting Professional Modifier None Typical Low $831.76 Median $1,174.90 Typical High $1,479.11 | Professional | None | $831.76 | $1,174.90 | $1,479.11 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $1,174.90 Typical High $3,981.07 | Facility | None | $831.76 | $1,174.90 | $3,981.07 |
Medica Setting Professional Modifier None Typical Low $501.19 Median $1,000.00 Typical High $4,168.69 | Professional | None | $501.19 | $1,000.00 | $4,168.69 |
Midlands Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,122.02 | Professional | None | $1,023.29 | $1,023.29 | $1,122.02 |
Oscar Health Setting Professional Modifier None Typical Low $831.76 Median $912.01 Typical High $1,778.28 | Professional | None | $831.76 | $912.01 | $1,778.28 |
United Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $2,137.96 | Facility | None | $831.76 | $831.76 | $2,137.96 |
United Setting Professional Modifier None Typical Low $354.81 Median $501.19 Typical High $1,202.26 | Professional | None | $354.81 | $501.19 | $1,202.26 |
Wellmark Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
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 $331.13 Median $331.13 Typical High $501.19 | Professional | 52 · Reduced service | $331.13 | $331.13 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $199.53 | Professional | 53 · Discontinued | $131.83 | $131.83 | $199.53 |
Where Iowa sits
The same service costs 5.4 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· 13th of 51
$891
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.