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 $2,454.71 Median $6,606.93 Typical High $8,709.64 | Facility | None | $2,454.71 | $6,606.93 | $8,709.64 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,715.35 | Professional | None | $2,454.71 | $2,454.71 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $3,801.89 Median $6,025.60 Typical High $7,413.10 | Professional | None | $3,801.89 | $6,025.60 | $7,413.10 |
Hally Health Setting Professional Modifier None Typical Low $2,630.27 Median $4,168.69 Typical High $5,495.41 | Professional | None | $2,630.27 | $4,168.69 | $5,495.41 |
Medica Setting Facility Modifier None Typical Low $3,090.30 Median $5,754.40 Typical High $7,244.36 | Facility | None | $3,090.30 | $5,754.40 | $7,244.36 |
Medica Setting Professional Modifier None Typical Low $1,862.09 Median $3,715.35 Typical High $15,488.17 | Professional | None | $1,862.09 | $3,715.35 | $15,488.17 |
Midlands Setting Professional Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $4,073.80 | Professional | None | $3,801.89 | $3,801.89 | $4,073.80 |
Oscar Health Setting Professional Modifier None Typical Low $3,090.30 Median $3,388.44 Typical High $6,606.93 | Professional | None | $3,090.30 | $3,388.44 | $6,606.93 |
United Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $7,943.28 | Facility | None | $3,090.30 | $3,090.30 | $7,943.28 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $6,456.54 | Professional | None | $1,862.09 | $1,862.09 | $6,456.54 |
Wellmark Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | None | $3,090.30 | $3,090.30 | $3,090.30 |
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 $1,202.26 Median $1,202.26 Typical High $1,862.09 | Professional | 52 · Reduced service | $1,202.26 | $1,202.26 | $1,862.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $489.78 Typical High $741.31 | Professional | 53 · Discontinued | $489.78 | $489.78 | $741.31 |
Where Iowa sits
The same service costs 6.0 times more in Texas 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
$3,388
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.