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 $112.20 Median $218.78 Typical High $407.38 | Facility | None | $112.20 | $218.78 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $112.20 Typical High $169.82 | Professional | None | $95.50 | $112.20 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $275.42 Typical High $338.84 | Professional | None | $173.78 | $275.42 | $338.84 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $234.42 Typical High $371.54 | Professional | None | $151.36 | $234.42 | $371.54 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $251.19 Typical High $363.08 | Facility | None | $141.25 | $251.19 | $363.08 |
Medica Setting Professional Modifier None Typical Low $85.11 Median $169.82 Typical High $707.95 | Professional | None | $85.11 | $169.82 | $707.95 |
Midlands Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $190.55 | Professional | None | $173.78 | $173.78 | $190.55 |
Oscar Health Setting Professional Modifier None Typical Low $141.25 Median $154.88 Typical High $302.00 | Professional | None | $141.25 | $154.88 | $302.00 |
United Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $363.08 | Facility | None | $141.25 | $141.25 | $363.08 |
United Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $295.12 | Professional | None | $85.11 | $85.11 | $295.12 |
Wellmark Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
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 $56.23 Median $56.23 Typical High $85.11 | Professional | 52 · Reduced service | $56.23 | $56.23 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $33.88 | Professional | 53 · Discontinued | $22.39 | $22.39 | $33.88 |
Where Iowa sits
The same service costs 5.1 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· 13th of 51
$155
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.