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 $14.45 Median $38.90 Typical High $52.48 | Facility | None | $14.45 | $38.90 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $22.39 | Professional | None | $14.45 | $14.45 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $41.69 Typical High $52.48 | Professional | None | $25.12 | $41.69 | $52.48 |
Hally Health Setting Professional Modifier None Typical Low $21.38 Median $30.90 Typical High $120.23 | Professional | None | $21.38 | $30.90 | $120.23 |
Medica Setting Facility Modifier None Typical Low $18.20 Median $39.81 Typical High $144.54 | Facility | None | $18.20 | $39.81 | $144.54 |
Medica Setting Professional Modifier None Typical Low $12.59 Median $24.55 Typical High $186.21 | Professional | None | $12.59 | $24.55 | $186.21 |
Midlands Setting Professional Modifier None Typical Low $41.69 Median $52.48 Typical High $52.48 | Professional | None | $41.69 | $52.48 | $52.48 |
Midlands Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Oscar Health Setting Professional Modifier None Typical Low $162.18 Median $186.21 Typical High $218.78 | Professional | None | $162.18 | $186.21 | $218.78 |
United Setting Facility Modifier None Typical Low $89.13 Median $147.91 Typical High $186.21 | Facility | None | $89.13 | $147.91 | $186.21 |
United Setting Professional Modifier None Typical Low $9.12 Median $16.60 Typical High $34.67 | Professional | None | $9.12 | $16.60 | $34.67 |
Wellmark Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $40.74 | Professional | None | $34.67 | $34.67 | $40.74 |
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 $7.24 Median $7.24 Typical High $11.22 | Professional | 52 · Reduced service | $7.24 | $7.24 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $4.47 | Professional | 53 · Discontinued | $2.88 | $2.88 | $4.47 |
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· 8th of 51
$34.67
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.