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 $33.11 Median $89.13 Typical High $120.23 | Facility | None | $33.11 | $89.13 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $33.11 Typical High $51.29 | Professional | None | $28.84 | $33.11 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $81.28 Typical High $134.90 | Professional | None | $52.48 | $81.28 | $134.90 |
Hally Health Setting Professional Modifier None Typical Low $42.66 Median $70.79 Typical High $112.20 | Professional | None | $42.66 | $70.79 | $112.20 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $72.44 Typical High $134.90 | Facility | None | $51.29 | $72.44 | $134.90 |
Medica Setting Professional Modifier None Typical Low $25.70 Median $67.61 Typical High $354.81 | Professional | None | $25.70 | $67.61 | $354.81 |
Midlands Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $56.23 | Professional | None | $52.48 | $52.48 | $56.23 |
Oscar Health Setting Professional Modifier None Typical Low $41.69 Median $46.77 Typical High $91.20 | Professional | None | $41.69 | $46.77 | $91.20 |
United Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $109.65 | Facility | None | $42.66 | $42.66 | $109.65 |
United Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $104.71 | Professional | None | $25.70 | $25.70 | $104.71 |
Wellmark Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
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 $16.60 Median $16.60 Typical High $25.70 | Professional | 52 · Reduced service | $16.60 | $16.60 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $10.23 | Professional | 53 · Discontinued | $6.61 | $6.61 | $10.23 |
Where Iowa sits
The same service costs 3.3 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· 20th of 51
$51.29
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.