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 $323.59 Median $870.96 Typical High $1,174.90 | Facility | None | $323.59 | $870.96 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $501.19 | Professional | None | $323.59 | $323.59 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $794.33 Typical High $1,148.15 | Professional | None | $512.86 | $794.33 | $1,148.15 |
Hally Health Setting Professional Modifier None Typical Low $354.81 Median $691.83 Typical High $1,202.26 | Professional | None | $354.81 | $691.83 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $851.14 Typical High $1,148.15 | Facility | None | $416.87 | $851.14 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $251.19 Median $501.19 Typical High $2,089.30 | Professional | None | $251.19 | $501.19 | $2,089.30 |
Midlands Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $549.54 | Professional | None | $512.86 | $512.86 | $549.54 |
Oscar Health Setting Professional Modifier None Typical Low $407.38 Median $446.68 Typical High $891.25 | Professional | None | $407.38 | $446.68 | $891.25 |
United Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $1,071.52 | Facility | None | $416.87 | $416.87 | $1,071.52 |
United Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $1,000.00 | Professional | None | $251.19 | $251.19 | $1,000.00 |
Wellmark Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
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 $162.18 Median $162.18 Typical High $251.19 | Professional | 52 · Reduced service | $162.18 | $162.18 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $64.57 Typical High $100.00 | Professional | 53 · Discontinued | $64.57 | $64.57 | $100.00 |
Where Iowa sits
The same service costs 5.4 times more in Alaska than in Alabama. 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
$479
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.