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 $43.65 Median $117.49 Typical High $158.49 | Facility | None | $43.65 | $117.49 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $43.65 Typical High $67.61 | Professional | None | $37.15 | $43.65 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $107.15 Typical High $151.36 | Professional | None | $69.18 | $107.15 | $151.36 |
Hally Health Setting Professional Modifier None Typical Low $56.23 Median $97.72 Typical High $109.65 | Professional | None | $56.23 | $97.72 | $109.65 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $72.44 Typical High $151.36 | Facility | None | $64.57 | $72.44 | $151.36 |
Medica Setting Professional Modifier None Typical Low $33.11 Median $72.44 Typical High $346.74 | Professional | None | $33.11 | $72.44 | $346.74 |
Midlands Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $74.13 | Professional | None | $69.18 | $69.18 | $74.13 |
Oscar Health Setting Professional Modifier None Typical Low $53.70 Median $60.26 Typical High $117.49 | Professional | None | $53.70 | $60.26 | $117.49 |
United Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $141.25 | Facility | None | $56.23 | $56.23 | $141.25 |
United Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $117.49 | Professional | None | $33.11 | $33.11 | $117.49 |
Wellmark Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
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 $21.88 Median $21.88 Typical High $33.11 | Professional | 52 · Reduced service | $21.88 | $21.88 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $13.49 | Professional | 53 · Discontinued | $8.71 | $8.71 | $13.49 |
Where Iowa sits
The same service costs 3.8 times more in Alaska than in Delaware. 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· 13th of 51
$67.61
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.