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 $9.33 Median $23.44 Typical High $33.88 | Facility | None | $9.33 | $23.44 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $11.48 | Professional | None | $9.33 | $9.33 | $11.48 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $24.55 Typical High $38.02 | Professional | None | $10.72 | $24.55 | $38.02 |
Hally Health Setting Professional Modifier None Typical Low $12.02 Median $29.51 Typical High $100.00 | Professional | None | $12.02 | $29.51 | $100.00 |
Medica Setting Facility Modifier None Typical Low $14.45 Median $20.89 Typical High $38.02 | Facility | None | $14.45 | $20.89 | $38.02 |
Medica Setting Professional Modifier None Typical Low $7.24 Median $17.78 Typical High $89.13 | Professional | None | $7.24 | $17.78 | $89.13 |
Midlands Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $22.39 | Professional | None | $15.85 | $15.85 | $22.39 |
Oscar Health Setting Professional Modifier None Typical Low $12.02 Median $13.18 Typical High $25.70 | Professional | None | $12.02 | $13.18 | $25.70 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $30.90 | Facility | None | $12.02 | $12.02 | $30.90 |
United Setting Professional Modifier None Typical Low $5.13 Median $7.24 Typical High $23.99 | Professional | None | $5.13 | $7.24 | $23.99 |
Wellmark Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
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 $4.68 Median $4.68 Typical High $5.75 | Professional | 52 · Reduced service | $4.68 | $4.68 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $1.91 Typical High $2.29 | Professional | 53 · Discontinued | $1.86 | $1.91 | $2.29 |
Where Iowa sits
The same service costs 4.0 times more in Alaska than in Texas. 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· 17th of 51
$12.02
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.