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 $2,238.72 Median $6,025.60 Typical High $8,128.31 | Facility | None | $2,238.72 | $6,025.60 | $8,128.31 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $3,467.37 | Professional | None | $2,238.72 | $2,238.72 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $3,548.13 Median $5,495.41 Typical High $6,918.31 | Professional | None | $3,548.13 | $5,495.41 | $6,918.31 |
Hally Health Setting Professional Modifier None Typical Low $2,344.23 Median $3,548.13 Typical High $5,011.87 | Professional | None | $2,344.23 | $3,548.13 | $5,011.87 |
Medica Setting Facility Modifier None Typical Low $2,884.03 Median $4,168.69 Typical High $6,606.93 | Facility | None | $2,884.03 | $4,168.69 | $6,606.93 |
Medica Setting Professional Modifier None Typical Low $1,737.80 Median $3,467.37 Typical High $14,454.40 | Professional | None | $1,737.80 | $3,467.37 | $14,454.40 |
Midlands Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,801.89 | Professional | None | $3,548.13 | $3,548.13 | $3,801.89 |
Oscar Health Setting Professional Modifier None Typical Low $2,884.03 Median $3,090.30 Typical High $6,165.95 | Professional | None | $2,884.03 | $3,090.30 | $6,165.95 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $7,413.10 | Facility | None | $2,884.03 | $2,884.03 | $7,413.10 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $1,737.80 Typical High $5,370.32 | Professional | None | $1,288.25 | $1,737.80 | $5,370.32 |
Wellmark Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | None | $2,884.03 | $2,884.03 | $2,884.03 |
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 $1,122.02 Median $1,122.02 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,122.02 | $1,122.02 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $446.68 Typical High $691.83 | Professional | 53 · Discontinued | $446.68 | $446.68 | $691.83 |
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· 13th of 51
$3,090
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.