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 $407.38 Median $1,096.48 Typical High $1,479.11 | Facility | None | $407.38 | $1,096.48 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $630.96 | Professional | None | $407.38 | $407.38 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $1,000.00 Typical High $1,258.93 | Professional | None | $645.65 | $1,000.00 | $1,258.93 |
Hally Health Setting Professional Modifier None Typical Low $446.68 Median $776.25 Typical High $1,174.90 | Professional | None | $446.68 | $776.25 | $1,174.90 |
Medica Setting Facility Modifier None Typical Low $524.81 Median $954.99 Typical High $1,202.26 | Facility | None | $524.81 | $954.99 | $1,202.26 |
Medica Setting Professional Modifier None Typical Low $309.03 Median $630.96 Typical High $2,570.40 | Professional | None | $309.03 | $630.96 | $2,570.40 |
Midlands Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $691.83 | Professional | None | $645.65 | $645.65 | $691.83 |
Oscar Health Setting Professional Modifier None Typical Low $524.81 Median $562.34 Typical High $1,096.48 | Professional | None | $524.81 | $562.34 | $1,096.48 |
United Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $1,318.26 | Facility | None | $524.81 | $524.81 | $1,318.26 |
United Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $1,071.52 | Professional | None | $309.03 | $309.03 | $1,071.52 |
Wellmark Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
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 $204.17 Median $204.17 Typical High $309.03 | Professional | 52 · Reduced service | $204.17 | $204.17 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $125.89 | Professional | 53 · Discontinued | $81.28 | $81.28 | $125.89 |
Where Iowa sits
The same service costs 8.1 times more in Texas 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
$562
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.