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 $134.90 Median $363.08 Typical High $489.78 | Facility | None | $134.90 | $363.08 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $208.93 | Professional | None | $134.90 | $134.90 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $331.13 Typical High $549.54 | Professional | None | $213.80 | $331.13 | $549.54 |
Hally Health Setting Professional Modifier None Typical Low $173.78 Median $407.38 Typical High $457.09 | Professional | None | $173.78 | $407.38 | $457.09 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $309.03 Typical High $549.54 | Facility | None | $208.93 | $309.03 | $549.54 |
Medica Setting Professional Modifier None Typical Low $173.78 Median $309.03 Typical High $1,380.38 | Professional | None | $173.78 | $309.03 | $1,380.38 |
Midlands Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $229.09 | Professional | None | $213.80 | $213.80 | $229.09 |
Oscar Health Setting Professional Modifier None Typical Low $169.82 Median $186.21 Typical High $371.54 | Professional | None | $169.82 | $186.21 | $371.54 |
United Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $446.68 | Facility | None | $173.78 | $173.78 | $446.68 |
United Setting Professional Modifier None Typical Low $158.49 Median $173.78 Typical High $407.38 | Professional | None | $158.49 | $173.78 | $407.38 |
Wellmark Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
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 $67.61 Median $67.61 Typical High $104.71 | Professional | 52 · Reduced service | $67.61 | $67.61 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $41.69 | Professional | 53 · Discontinued | $26.92 | $26.92 | $41.69 |
Where Iowa sits
The same service costs 3.7 times more in Kansas than in Illinois. 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· 15th of 51
$251
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.