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 $3,019.95 Median $8,128.31 Typical High $10,964.78 | Facility | None | $3,019.95 | $8,128.31 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $4,677.35 | Professional | None | $3,019.95 | $3,019.95 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $5,128.61 Median $7,413.10 Typical High $9,332.54 | Professional | None | $5,128.61 | $7,413.10 | $9,332.54 |
Hally Health Setting Professional Modifier None Typical Low $3,019.95 Median $4,786.30 Typical High $6,760.83 | Professional | None | $3,019.95 | $4,786.30 | $6,760.83 |
Medica Setting Facility Modifier None Typical Low $3,890.45 Median $6,760.83 Typical High $8,912.51 | Facility | None | $3,890.45 | $6,760.83 | $8,912.51 |
Medica Setting Professional Modifier None Typical Low $2,344.23 Median $5,011.87 Typical High $19,498.45 | Professional | None | $2,344.23 | $5,011.87 | $19,498.45 |
Midlands Setting Professional Modifier None Typical Low $5,128.61 Median $5,248.07 Typical High $5,248.07 | Professional | None | $5,128.61 | $5,248.07 | $5,248.07 |
Oscar Health Setting Professional Modifier None Typical Low $3,890.45 Median $4,168.69 Typical High $8,317.64 | Professional | None | $3,890.45 | $4,168.69 | $8,317.64 |
United Setting Facility Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $10,000.00 | Facility | None | $3,890.45 | $3,890.45 | $10,000.00 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $2,344.23 Typical High $7,244.36 | Professional | None | $1,819.70 | $2,344.23 | $7,244.36 |
Wellmark Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,890.45 | $3,890.45 | $3,890.45 |
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 $1,513.56 Median $1,513.56 Typical High $2,344.23 | Professional | 52 · Reduced service | $1,513.56 | $1,513.56 | $2,344.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $602.56 Median $602.56 Typical High $933.25 | Professional | 53 · Discontinued | $602.56 | $602.56 | $933.25 |
Where Iowa sits
The same service costs 5.4 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· 12th of 51
$4,169
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.