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 $58.88 Median $158.49 Typical High $213.80 | Facility | None | $58.88 | $158.49 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $58.88 Typical High $91.20 | Professional | None | $50.12 | $58.88 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $100.00 Typical High $181.97 | Professional | None | $87.10 | $100.00 | $181.97 |
Hally Health Setting Professional Modifier None Typical Low $83.18 Median $109.65 Typical High $131.83 | Professional | None | $83.18 | $109.65 | $131.83 |
Medica Setting Facility Modifier None Typical Low $29.51 Median $91.20 Typical High $173.78 | Facility | None | $29.51 | $91.20 | $173.78 |
Medica Setting Professional Modifier None Typical Low $26.92 Median $77.62 Typical High $380.19 | Professional | None | $26.92 | $77.62 | $380.19 |
Midlands Setting Professional Modifier None Typical Low $26.92 Median $93.33 Typical High $100.00 | Professional | None | $26.92 | $93.33 | $100.00 |
Midlands Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Oscar Health Setting Professional Modifier None Typical Low $75.86 Median $81.28 Typical High $162.18 | Professional | None | $75.86 | $81.28 | $162.18 |
United Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $194.98 | Facility | None | $75.86 | $75.86 | $194.98 |
United Setting Professional Modifier None Typical Low $19.05 Median $45.71 Typical High $89.13 | Professional | None | $19.05 | $45.71 | $89.13 |
Wellmark Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
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 $29.51 Median $29.51 Typical High $45.71 | Professional | 52 · Reduced service | $29.51 | $29.51 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $18.20 | Professional | 53 · Discontinued | $11.75 | $11.75 | $18.20 |
Where Iowa sits
The same service costs 6.0 times more in Alaska than in Kentucky. 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
$75.86
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.