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 $4,265.80 Median $11,481.54 Typical High $15,488.17 | Facility | None | $4,265.80 | $11,481.54 | $15,488.17 |
Aetna Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $6,606.93 | Professional | None | $4,265.80 | $4,265.80 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $6,760.83 Median $10,471.29 Typical High $13,182.57 | Professional | None | $6,760.83 | $10,471.29 | $13,182.57 |
Hally Health Setting Professional Modifier None Typical Low $4,677.35 Median $8,912.51 Typical High $15,135.61 | Professional | None | $4,677.35 | $8,912.51 | $15,135.61 |
Medica Setting Facility Modifier None Typical Low $5,495.41 Median $9,772.37 Typical High $14,125.38 | Facility | None | $5,495.41 | $9,772.37 | $14,125.38 |
Medica Setting Professional Modifier None Typical Low $3,311.31 Median $6,606.93 Typical High $26,915.35 | Professional | None | $3,311.31 | $6,606.93 | $26,915.35 |
Midlands Setting Professional Modifier None Typical Low $6,760.83 Median $6,760.83 Typical High $7,244.36 | Professional | None | $6,760.83 | $6,760.83 | $7,244.36 |
Oscar Health Setting Professional Modifier None Typical Low $5,370.32 Median $5,888.44 Typical High $11,481.54 | Professional | None | $5,370.32 | $5,888.44 | $11,481.54 |
United Setting Facility Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $13,803.84 | Facility | None | $5,370.32 | $5,370.32 | $13,803.84 |
United Setting Professional Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $11,220.18 | Professional | None | $3,311.31 | $3,311.31 | $11,220.18 |
Wellmark Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | None | $5,370.32 | $5,370.32 | $5,370.32 |
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 $2,137.96 Median $2,137.96 Typical High $3,235.94 | Professional | 52 · Reduced service | $2,137.96 | $2,137.96 | $3,235.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $851.14 Median $851.14 Typical High $1,318.26 | Professional | 53 · Discontinued | $851.14 | $851.14 | $1,318.26 |
Where Iowa sits
The same service costs 6.2 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· 15th of 51
$5,888
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.