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 $15.49 Median $41.69 Typical High $56.23 | Facility | None | $15.49 | $41.69 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $15.49 Typical High $23.99 | Professional | None | $13.49 | $15.49 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $44.67 Typical High $63.10 | Professional | None | $26.30 | $44.67 | $63.10 |
Hally Health Setting Professional Modifier None Typical Low $19.95 Median $48.98 Typical High $52.48 | Professional | None | $19.95 | $48.98 | $52.48 |
Medica Setting Facility Modifier None Typical Low $23.99 Median $33.88 Typical High $63.10 | Facility | None | $23.99 | $33.88 | $63.10 |
Medica Setting Professional Modifier None Typical Low $12.02 Median $30.90 Typical High $165.96 | Professional | None | $12.02 | $30.90 | $165.96 |
Midlands Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Oscar Health Setting Professional Modifier None Typical Low $19.50 Median $21.88 Typical High $42.66 | Professional | None | $19.50 | $21.88 | $42.66 |
United Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $51.29 | Facility | None | $19.95 | $19.95 | $51.29 |
United Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $48.98 | Professional | None | $12.02 | $12.02 | $48.98 |
Wellmark Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
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 $7.76 Median $7.76 Typical High $12.02 | Professional | 52 · Reduced service | $7.76 | $7.76 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $4.79 | Professional | 53 · Discontinued | $3.16 | $3.16 | $4.79 |
Where Iowa sits
The same service costs 5.5 times more in Texas 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· 20th of 51
$23.99
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.