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 $616.60 Median $1,659.59 Typical High $2,238.72 | Facility | None | $616.60 | $1,659.59 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $954.99 | Professional | None | $616.60 | $616.60 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $912.01 Median $1,513.56 Typical High $1,905.46 | Professional | None | $912.01 | $1,513.56 | $1,905.46 |
Hally Health Setting Professional Modifier None Typical Low $724.44 Median $1,071.52 Typical High $1,380.38 | Professional | None | $724.44 | $1,071.52 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $794.33 Median $1,479.11 Typical High $3,801.89 | Facility | None | $794.33 | $1,479.11 | $3,801.89 |
Medica Setting Professional Modifier None Typical Low $478.63 Median $954.99 Typical High $3,981.07 | Professional | None | $478.63 | $954.99 | $3,981.07 |
Midlands Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,047.13 | Professional | None | $977.24 | $977.24 | $1,047.13 |
Oscar Health Setting Professional Modifier None Typical Low $794.33 Median $851.14 Typical High $1,698.24 | Professional | None | $794.33 | $851.14 | $1,698.24 |
United Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $2,041.74 | Facility | None | $794.33 | $794.33 | $2,041.74 |
United Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $1,621.81 | Professional | None | $478.63 | $478.63 | $1,621.81 |
Wellmark Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
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 $309.03 Median $309.03 Typical High $478.63 | Professional | 52 · Reduced service | $309.03 | $309.03 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $190.55 | Professional | 53 · Discontinued | $123.03 | $123.03 | $190.55 |
Where Iowa sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 14th of 51
$813
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.