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 $33.88 Median $91.20 Typical High $123.03 | Facility | None | $33.88 | $91.20 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $33.88 Typical High $52.48 | Professional | None | $29.51 | $33.88 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $83.18 Typical High $138.04 | Professional | None | $53.70 | $83.18 | $138.04 |
Hally Health Setting Professional Modifier None Typical Low $43.65 Median $97.72 Typical High $147.91 | Professional | None | $43.65 | $97.72 | $147.91 |
Medica Setting Facility Modifier None Typical Low $52.48 Median $69.18 Typical High $138.04 | Facility | None | $52.48 | $69.18 | $138.04 |
Medica Setting Professional Modifier None Typical Low $26.30 Median $52.48 Typical High $331.13 | Professional | None | $26.30 | $52.48 | $331.13 |
Midlands Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $57.54 | Professional | None | $53.70 | $53.70 | $57.54 |
Oscar Health Setting Professional Modifier None Typical Low $42.66 Median $46.77 Typical High $93.33 | Professional | None | $42.66 | $46.77 | $93.33 |
United Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $112.20 | Facility | None | $43.65 | $43.65 | $112.20 |
United Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $97.72 | Professional | None | $26.30 | $26.30 | $97.72 |
Wellmark Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
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 $16.98 Median $16.98 Typical High $26.30 | Professional | 52 · Reduced service | $16.98 | $16.98 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $10.47 | Professional | 53 · Discontinued | $6.76 | $6.76 | $10.47 |
Where Iowa sits
The same service costs 3.5 times more in Alaska than in Florida. 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
$51.29
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.