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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $46.77 Typical High $46.77 | Professional | None | $36.31 | $46.77 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $69.18 Typical High $69.18 | Professional | None | $36.31 | $69.18 | $69.18 |
Hally Health Setting Professional Modifier None Typical Low $22.91 Median $33.88 Typical High $60.26 | Professional | None | $22.91 | $33.88 | $60.26 |
Medica Setting Facility Modifier None Typical Low $23.44 Median $74.13 Typical High $316.23 | Facility | None | $23.44 | $74.13 | $316.23 |
Medica Setting Professional Modifier None Typical Low $22.91 Median $39.81 Typical High $91.20 | Professional | None | $22.91 | $39.81 | $91.20 |
Midlands Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $69.18 | Professional | None | $58.88 | $58.88 | $69.18 |
Oscar Health Setting Professional Modifier None Typical Low $37.15 Median $72.44 Typical High $87.10 | Professional | None | $37.15 | $72.44 | $87.10 |
United Setting Facility Modifier None Typical Low $199.53 Median $331.13 Typical High $416.87 | Facility | None | $199.53 | $331.13 | $416.87 |
United Setting Professional Modifier None Typical Low $27.54 Median $37.15 Typical High $51.29 | Professional | None | $27.54 | $37.15 | $51.29 |
Wellmark Setting Professional Modifier None Typical Low $56.23 Median $72.44 Typical High $72.44 | Professional | None | $56.23 | $72.44 | $72.44 |
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 $18.20 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $18.20 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $7.24 | $9.55 | $9.55 |
Where Iowa sits
The same service costs 2.9 times more in North Dakota than in Kentucky. 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· 9th of 51
$48.98
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.