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 $32.36 Median $87.10 Typical High $117.49 | Facility | None | $32.36 | $87.10 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $32.36 Typical High $50.12 | Professional | None | $28.18 | $32.36 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $79.43 Typical High $131.83 | Professional | None | $51.29 | $79.43 | $131.83 |
Hally Health Setting Professional Modifier None Typical Low $41.69 Median $95.50 Typical High $109.65 | Professional | None | $41.69 | $95.50 | $109.65 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $70.79 Typical High $131.83 | Facility | None | $50.12 | $70.79 | $131.83 |
Medica Setting Professional Modifier None Typical Low $25.12 Median $66.07 Typical High $346.74 | Professional | None | $25.12 | $66.07 | $346.74 |
Midlands Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $54.95 | Professional | None | $51.29 | $51.29 | $54.95 |
Oscar Health Setting Professional Modifier None Typical Low $40.74 Median $44.67 Typical High $89.13 | Professional | None | $40.74 | $44.67 | $89.13 |
United Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $107.15 | Facility | None | $41.69 | $41.69 | $107.15 |
United Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $100.00 | Professional | None | $25.12 | $25.12 | $100.00 |
Wellmark Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None | $41.69 | $41.69 | $41.69 |
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 $16.22 Median $16.22 Typical High $25.12 | Professional | 52 · Reduced service | $16.22 | $16.22 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $10.00 | Professional | 53 · Discontinued | $6.46 | $6.46 | $10.00 |
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· 16th of 51
$50.12
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.