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 $12.88 Median $34.67 Typical High $46.77 | Facility | None | $12.88 | $34.67 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $19.50 | Professional | None | $12.88 | $12.88 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $39.81 Typical High $45.71 | Professional | None | $21.88 | $39.81 | $45.71 |
Hally Health Setting Professional Modifier None Typical Low $16.22 Median $22.91 Typical High $75.86 | Professional | None | $16.22 | $22.91 | $75.86 |
Medica Setting Facility Modifier None Typical Low $18.20 Median $39.81 Typical High $416.87 | Facility | None | $18.20 | $39.81 | $416.87 |
Medica Setting Professional Modifier None Typical Low $11.22 Median $21.88 Typical High $162.18 | Professional | None | $11.22 | $21.88 | $162.18 |
Midlands Setting Professional Modifier None Typical Low $36.31 Median $44.67 Typical High $44.67 | Professional | None | $36.31 | $44.67 | $44.67 |
Midlands Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
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 $8.71 Median $14.45 Typical High $30.20 | Professional | None | $8.71 | $14.45 | $30.20 |
Wellmark Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $33.88 | Professional | None | $28.84 | $28.84 | $33.88 |
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 $6.46 Median $6.46 Typical High $9.77 | Professional | 52 · Reduced service | $6.46 | $6.46 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.57 Typical High $3.89 | Professional | 53 · Discontinued | $2.57 | $2.57 | $3.89 |
Where Iowa sits
The same service costs 14.8 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· 8th of 51
$28.84
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.