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 $27.54 Median $27.54 Typical High $87.10 | Facility | None | $27.54 | $27.54 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $43.65 Typical High $87.10 | Professional | None | $23.44 | $43.65 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $87.10 Typical High $177.83 | Professional | None | $48.98 | $87.10 | $177.83 |
Hally Health Setting Professional Modifier None Typical Low $20.89 Median $91.20 Typical High $162.18 | Professional | None | $20.89 | $91.20 | $162.18 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $144.54 Typical High $660.69 | Facility | None | $57.54 | $144.54 | $660.69 |
Medica Setting Professional Modifier None Typical Low $54.95 Median $158.49 Typical High $436.52 | Professional | None | $54.95 | $158.49 | $436.52 |
Midlands Setting Professional Modifier None Typical Low $53.70 Median $120.23 Typical High $177.83 | Professional | None | $53.70 | $120.23 | $177.83 |
Midlands Setting Professional Modifier None Typical Low $42.66 Median $134.90 Typical High $186.21 | Professional | None | $42.66 | $134.90 | $186.21 |
Oscar Health Setting Professional Modifier None Typical Low $19.95 Median $46.77 Typical High $162.18 | Professional | None | $19.95 | $46.77 | $162.18 |
United Setting Facility Modifier None Typical Low $323.59 Median $537.03 Typical High $676.08 | Facility | None | $323.59 | $537.03 | $676.08 |
United Setting Professional Modifier None Typical Low $30.90 Median $66.07 Typical High $173.78 | Professional | None | $30.90 | $66.07 | $173.78 |
Wellmark Setting Professional Modifier None Typical Low $33.11 Median $40.74 Typical High $158.49 | Professional | None | $33.11 | $40.74 | $158.49 |
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 $11.48 Median $15.49 Typical High $43.65 | Professional | 52 · Reduced service | $11.48 | $15.49 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $6.31 Typical High $17.38 | Professional | 53 · Discontinued | $4.68 | $6.31 | $17.38 |
Where Iowa sits
The same service costs 3.9 times more in Hawaii than in Washington, DC. 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· 3rd of 51
$87.10
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.