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 $45.71 Median $45.71 Typical High $177.83 | Facility | None | $45.71 | $45.71 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $54.95 Typical High $177.83 | Professional | None | $30.20 | $54.95 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $91.20 Typical High $302.00 | Professional | None | $53.70 | $91.20 | $302.00 |
Hally Health Setting Professional Modifier None Typical Low $28.84 Median $128.82 Typical High $169.82 | Professional | None | $28.84 | $128.82 | $169.82 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $147.91 Typical High $1,122.02 | Facility | None | $83.18 | $147.91 | $1,122.02 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $151.36 Typical High $707.95 | Professional | None | $75.86 | $151.36 | $707.95 |
Midlands Setting Professional Modifier None Typical Low $77.62 Median $123.03 Typical High $302.00 | Professional | None | $77.62 | $123.03 | $302.00 |
Midlands Setting Professional Modifier None Typical Low $67.61 Median $109.65 Typical High $331.13 | Professional | None | $67.61 | $109.65 | $331.13 |
Oscar Health Setting Professional Modifier None Typical Low $28.84 Median $66.07 Typical High $281.84 | Professional | None | $28.84 | $66.07 | $281.84 |
United Setting Facility Modifier None Typical Low $562.34 Median $933.25 Typical High $1,174.90 | Facility | None | $562.34 | $933.25 | $1,174.90 |
United Setting Professional Modifier None Typical Low $37.15 Median $81.28 Typical High $181.97 | Professional | None | $37.15 | $81.28 | $181.97 |
Wellmark Setting Professional Modifier None Typical Low $47.86 Median $57.54 Typical High $275.42 | Professional | None | $47.86 | $57.54 | $275.42 |
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 $15.14 Median $22.91 Typical High $89.13 | Professional | 52 · Reduced service | $15.14 | $22.91 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $9.12 Typical High $35.48 | Professional | 53 · Discontinued | $6.03 | $9.12 | $35.48 |
Where Iowa sits
The same service costs 4.2 times more in Washington than in Maryland. 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· 6th of 51
$107
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.