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 $20.89 Median $56.23 Typical High $75.86 | Facility | None | $20.89 | $56.23 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $20.89 Typical High $32.36 | Professional | None | $18.20 | $20.89 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $51.29 Typical High $70.79 | Professional | None | $33.11 | $51.29 | $70.79 |
Hally Health Setting Professional Modifier None Typical Low $26.92 Median $46.77 Typical High $63.10 | Professional | None | $26.92 | $46.77 | $63.10 |
Medica Setting Facility Modifier None Typical Low $29.51 Median $37.15 Typical High $70.79 | Facility | None | $29.51 | $37.15 | $70.79 |
Medica Setting Professional Modifier None Typical Low $26.92 Median $41.69 Typical High $363.08 | Professional | None | $26.92 | $41.69 | $363.08 |
Midlands Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $35.48 | Professional | None | $33.11 | $33.11 | $35.48 |
Oscar Health Setting Professional Modifier None Typical Low $26.30 Median $28.84 Typical High $57.54 | Professional | None | $26.30 | $28.84 | $57.54 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $69.18 | Facility | None | $26.92 | $26.92 | $69.18 |
United Setting Professional Modifier None Typical Low $24.55 Median $26.92 Typical High $56.23 | Professional | None | $24.55 | $26.92 | $56.23 |
Wellmark Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
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 $10.47 Median $10.47 Typical High $16.22 | Professional | 52 · Reduced service | $10.47 | $10.47 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $6.46 | Professional | 53 · Discontinued | $4.17 | $4.17 | $6.46 |
Where Iowa sits
The same service costs 3.2 times more in Alaska 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· 10th of 51
$33.11
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.