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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $57.54 Typical High $57.54 | Professional | None | $43.65 | $57.54 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $85.11 Typical High $85.11 | Professional | None | $43.65 | $85.11 | $85.11 |
Hally Health Setting Professional Modifier None Typical Low $33.88 Median $40.74 Typical High $64.57 | Professional | None | $33.88 | $40.74 | $64.57 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $91.20 Typical High $380.19 | Facility | None | $36.31 | $91.20 | $380.19 |
Medica Setting Professional Modifier None Typical Low $33.88 Median $47.86 Typical High $109.65 | Professional | None | $33.88 | $47.86 | $109.65 |
Midlands Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $85.11 | Professional | None | $72.44 | $72.44 | $85.11 |
Oscar Health Setting Professional Modifier None Typical Low $45.71 Median $87.10 Typical High $107.15 | Professional | None | $45.71 | $87.10 | $107.15 |
United Setting Facility Modifier None Typical Low $190.55 Median $323.59 Typical High $407.38 | Facility | None | $190.55 | $323.59 | $407.38 |
United Setting Professional Modifier None Typical Low $33.11 Median $44.67 Typical High $61.66 | Professional | None | $33.11 | $44.67 | $61.66 |
Wellmark Setting Professional Modifier None Typical Low $67.61 Median $87.10 Typical High $87.10 | Professional | None | $67.61 | $87.10 | $87.10 |
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 $21.88 Median $28.84 Typical High $28.84 | Professional | 52 · Reduced service | $21.88 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $8.91 | $11.48 | $11.48 |
Where Iowa sits
The same service costs 2.6 times more in Alaska 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· 6th of 51
$64.57
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.