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 $204.17 Median $501.19 Typical High $741.31 | Facility | None | $204.17 | $501.19 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $316.23 | Professional | None | $204.17 | $204.17 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $501.19 Typical High $630.96 | Professional | None | $323.59 | $501.19 | $630.96 |
Hally Health Setting Professional Modifier None Typical Low $223.87 Median $398.11 Typical High $660.69 | Professional | None | $223.87 | $398.11 | $660.69 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $363.08 Typical High $588.84 | Facility | None | $288.40 | $363.08 | $588.84 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $316.23 Typical High $1,318.26 | Professional | None | $158.49 | $316.23 | $1,318.26 |
Midlands Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $346.74 | Professional | None | $323.59 | $323.59 | $346.74 |
United Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $676.08 | Facility | None | $263.03 | $263.03 | $676.08 |
United Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $575.44 | Professional | None | $158.49 | $158.49 | $575.44 |
Wellmark Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
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 $102.33 Median $102.33 Typical High $158.49 | Professional | 52 · Reduced service | $102.33 | $102.33 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $63.10 | Professional | 53 · Discontinued | $40.74 | $40.74 | $63.10 |
Where Iowa sits
The same service costs 4.5 times more in Alaska than in Georgia. 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· 16th of 51
$288
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.