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 $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $501.19 Typical High $501.19 | Professional | None | $389.05 | $501.19 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $691.83 Typical High $1,000.00 | Professional | None | $457.09 | $691.83 | $1,000.00 |
Hally Health Setting Professional Modifier None Typical Low $158.49 Median $288.40 Typical High $1,047.13 | Professional | None | $158.49 | $288.40 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $776.25 Typical High $1,000.00 | Facility | None | $676.08 | $776.25 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $467.74 Median $724.44 Typical High $2,691.53 | Professional | None | $467.74 | $724.44 | $2,691.53 |
Midlands Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $1,047.13 | Professional | None | $691.83 | $691.83 | $1,047.13 |
Midlands Setting Professional Modifier None Typical Low $691.83 Median $707.95 Typical High $1,071.52 | Professional | None | $691.83 | $707.95 | $1,071.52 |
United Setting Professional Modifier None Typical Low $380.19 Median $549.54 Typical High $954.99 | Professional | None | $380.19 | $549.54 | $954.99 |
Wellmark Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
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 $194.98 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $194.98 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $79.43 | $100.00 | $100.00 |
Where Iowa sits
The same service costs 2.8 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· 4th of 51
$692
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.