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 $16.98 Median $45.71 Typical High $61.66 | Facility | None | $16.98 | $45.71 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $16.98 Typical High $26.30 | Professional | None | $14.79 | $16.98 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $44.67 Typical High $69.18 | Professional | None | $28.84 | $44.67 | $69.18 |
Hally Health Setting Professional Modifier None Typical Low $21.88 Median $48.98 Typical High $114.82 | Professional | None | $21.88 | $48.98 | $114.82 |
Medica Setting Facility Modifier None Typical Low $26.30 Median $33.88 Typical High $69.18 | Facility | None | $26.30 | $33.88 | $69.18 |
Medica Setting Professional Modifier None Typical Low $13.18 Median $31.62 Typical High $181.97 | Professional | None | $13.18 | $31.62 | $181.97 |
Midlands Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
United Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $56.23 | Facility | None | $21.88 | $21.88 | $56.23 |
United Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $48.98 | Professional | None | $13.18 | $13.18 | $48.98 |
Wellmark Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
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 $8.51 Median $8.51 Typical High $13.18 | Professional | 52 · Reduced service | $8.51 | $8.51 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $5.25 | Professional | 53 · Discontinued | $3.39 | $3.39 | $5.25 |
Where Iowa sits
The same service costs 4.7 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· 17th of 51
$26.30
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.