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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $56.23 Typical High $56.23 | Professional | None | $42.66 | $56.23 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $79.43 Typical High $79.43 | Professional | None | $42.66 | $79.43 | $79.43 |
Hally Health Setting Professional Modifier None Typical Low $30.20 Median $38.90 Typical High $63.10 | Professional | None | $30.20 | $38.90 | $63.10 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $85.11 Typical High $151.36 | Facility | None | $36.31 | $85.11 | $151.36 |
Medica Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $107.15 | Professional | None | $30.20 | $47.86 | $107.15 |
Midlands Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $79.43 | Professional | None | $67.61 | $67.61 | $79.43 |
Oscar Health Setting Professional Modifier None Typical Low $42.66 Median $83.18 Typical High $100.00 | Professional | None | $42.66 | $83.18 | $100.00 |
United Setting Facility Modifier None Typical Low $89.13 Median $147.91 Typical High $186.21 | Facility | None | $89.13 | $147.91 | $186.21 |
United Setting Professional Modifier None Typical Low $31.62 Median $44.67 Typical High $61.66 | Professional | None | $31.62 | $44.67 | $61.66 |
Wellmark Setting Professional Modifier None Typical Low $64.57 Median $83.18 Typical High $83.18 | Professional | None | $64.57 | $83.18 | $83.18 |
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 $21.38 Median $27.54 Typical High $27.54 | Professional | 52 · Reduced service | $21.38 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $8.51 | $11.22 | $11.22 |
Where Iowa sits
The same service costs 2.9 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· 9th of 51
$57.54
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.