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 $10.00 Median $26.92 Typical High $35.48 | Facility | None | $10.00 | $26.92 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $15.14 | Professional | None | $10.00 | $10.00 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $27.54 Typical High $34.67 | Professional | None | $16.60 | $27.54 | $34.67 |
Hally Health Setting Professional Modifier None Typical Low $10.47 Median $14.79 Typical High $23.44 | Professional | None | $10.47 | $14.79 | $23.44 |
Medica Setting Facility Modifier None Typical Low $11.75 Median $27.54 Typical High $416.87 | Facility | None | $11.75 | $27.54 | $416.87 |
Medica Setting Professional Modifier None Typical Low $8.71 Median $16.60 Typical High $125.89 | Professional | None | $8.71 | $16.60 | $125.89 |
Midlands Setting Professional Modifier None Typical Low $28.18 Median $29.51 Typical High $29.51 | Professional | None | $28.18 | $29.51 | $29.51 |
Midlands Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
United Setting Facility Modifier None Typical Low $257.04 Median $426.58 Typical High $537.03 | Facility | None | $257.04 | $426.58 | $537.03 |
United Setting Professional Modifier None Typical Low $5.62 Median $11.22 Typical High $23.44 | Professional | None | $5.62 | $11.22 | $23.44 |
Wellmark Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $22.39 | Professional | None | $19.05 | $19.05 | $22.39 |
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 $5.01 Median $5.01 Typical High $7.59 | Professional | 52 · Reduced service | $5.01 | $5.01 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $3.02 | Professional | 53 · Discontinued | $2.00 | $2.00 | $3.02 |
Where Iowa sits
The same service costs 9.3 times more in Alaska than in New Jersey. 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· 10th of 51
$19.05
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.