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 $27.54 Median $53.70 Typical High $100.00 | Facility | None | $27.54 | $53.70 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $58.88 | Professional | None | $27.54 | $27.54 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $66.07 Typical High $97.72 | Professional | None | $42.66 | $66.07 | $97.72 |
Hally Health Setting Professional Modifier None Typical Low $38.90 Median $61.66 Typical High $144.54 | Professional | None | $38.90 | $61.66 | $144.54 |
Medica Setting Facility Modifier None Typical Low $41.69 Median $60.26 Typical High $114.82 | Facility | None | $41.69 | $60.26 | $114.82 |
Medica Setting Professional Modifier None Typical Low $20.89 Median $41.69 Typical High $173.78 | Professional | None | $20.89 | $41.69 | $173.78 |
Midlands Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $46.77 | Professional | None | $42.66 | $42.66 | $46.77 |
Oscar Health Setting Professional Modifier None Typical Low $33.88 Median $38.02 Typical High $74.13 | Professional | None | $33.88 | $38.02 | $74.13 |
United Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $89.13 | Facility | None | $35.48 | $35.48 | $89.13 |
United Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $85.11 | Professional | None | $20.89 | $20.89 | $85.11 |
Wellmark Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
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 $13.80 Median $13.80 Typical High $20.89 | Professional | 52 · Reduced service | $13.80 | $13.80 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $8.51 | Professional | 53 · Discontinued | $5.50 | $5.50 | $8.51 |
Where Iowa sits
The same service costs 3.5 times more in Vermont than in New Jersey. 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
$41.69
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.