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 $30.90 Median $83.18 Typical High $109.65 | Facility | None | $30.90 | $83.18 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $30.90 Typical High $46.77 | Professional | None | $26.30 | $30.90 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $75.86 Typical High $123.03 | Professional | None | $47.86 | $75.86 | $123.03 |
Hally Health Setting Professional Modifier None Typical Low $38.90 Median $85.11 Typical High $151.36 | Professional | None | $38.90 | $85.11 | $151.36 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $60.26 Typical High $123.03 | Facility | None | $46.77 | $60.26 | $123.03 |
Medica Setting Professional Modifier None Typical Low $23.44 Median $54.95 Typical High $323.59 | Professional | None | $23.44 | $54.95 | $323.59 |
Midlands Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $51.29 | Professional | None | $47.86 | $47.86 | $51.29 |
United Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $100.00 | Facility | None | $38.90 | $38.90 | $100.00 |
United Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $85.11 | Professional | None | $23.44 | $23.44 | $85.11 |
Wellmark Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
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 $15.14 Median $15.14 Typical High $23.44 | Professional | 52 · Reduced service | $15.14 | $15.14 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $9.33 | Professional | 53 · Discontinued | $6.17 | $6.17 | $9.33 |
Where Iowa sits
The same service costs 3.5 times more in Texas 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· 18th of 51
$46.77
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.