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 $26.30 Median $70.79 Typical High $95.50 | Facility | None | $26.30 | $70.79 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $26.30 Typical High $39.81 | Professional | None | $24.55 | $26.30 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $64.57 Typical High $93.33 | Professional | None | $40.74 | $64.57 | $93.33 |
Hally Health Setting Professional Modifier None Typical Low $33.11 Median $61.66 Typical High $100.00 | Professional | None | $33.11 | $61.66 | $100.00 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $50.12 Typical High $93.33 | Facility | None | $38.90 | $50.12 | $93.33 |
Medica Setting Professional Modifier None Typical Low $33.11 Median $54.95 Typical High $398.11 | Professional | None | $33.11 | $54.95 | $398.11 |
Midlands Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $44.67 | Professional | None | $40.74 | $40.74 | $44.67 |
Oscar Health Setting Professional Modifier None Typical Low $32.36 Median $36.31 Typical High $70.79 | Professional | None | $32.36 | $36.31 | $70.79 |
United Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $85.11 | Facility | None | $33.11 | $33.11 | $85.11 |
United Setting Professional Modifier None Typical Low $30.20 Median $33.11 Typical High $72.44 | Professional | None | $30.20 | $33.11 | $72.44 |
Wellmark Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
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 $13.18 Median $13.18 Typical High $19.95 | Professional | 52 · Reduced service | $13.18 | $13.18 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $7.94 | Professional | 53 · Discontinued | $5.25 | $5.25 | $7.94 |
Where Iowa sits
The same service costs 5.6 times more in Kansas 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· 18th 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.