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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $109.65 Typical High $109.65 | Professional | None | $83.18 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $138.04 Typical High $223.87 | Professional | None | $95.50 | $138.04 | $223.87 |
Hally Health Setting Professional Modifier None Typical Low $38.02 Median $69.18 Typical High $165.96 | Professional | None | $38.02 | $69.18 | $165.96 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $169.82 Typical High $891.25 | Facility | None | $120.23 | $169.82 | $891.25 |
Medica Setting Professional Modifier None Typical Low $97.72 Median $131.83 Typical High $575.44 | Professional | None | $97.72 | $131.83 | $575.44 |
Midlands Setting Professional Modifier None Typical Low $114.82 Median $138.04 Typical High $223.87 | Professional | None | $114.82 | $138.04 | $223.87 |
Midlands Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Midlands Setting Professional Modifier None Typical Low $114.82 Median $154.88 Typical High $234.42 | Professional | None | $114.82 | $154.88 | $234.42 |
Oscar Health Setting Facility Modifier None Typical Low $380.19 Median $1,318.26 Typical High $1,318.26 | Facility | None | $380.19 | $1,318.26 | $1,318.26 |
United Setting Professional Modifier None Typical Low $83.18 Median $120.23 Typical High $208.93 | Professional | None | $83.18 | $120.23 | $208.93 |
Wellmark Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
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 $42.66 Median $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $42.66 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $16.98 | $21.88 | $21.88 |
Where Iowa sits
The same service costs 4.3 times more in Alaska than in Pennsylvania. 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· 13th of 51
$123
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.