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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $41.69 Typical High $41.69 | Professional | None | $32.36 | $41.69 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $69.18 Typical High $69.18 | Professional | None | $32.36 | $69.18 | $69.18 |
Hally Health Setting Professional Modifier None Typical Low $19.95 Median $30.20 Typical High $45.71 | Professional | None | $19.95 | $30.20 | $45.71 |
Medica Setting Facility Modifier None Typical Low $20.42 Median $67.61 Typical High $100.00 | Facility | None | $20.42 | $67.61 | $100.00 |
Medica Setting Professional Modifier None Typical Low $19.95 Median $38.02 Typical High $83.18 | Professional | None | $19.95 | $38.02 | $83.18 |
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 $33.11 Median $50.12 Typical High $75.86 | Professional | None | $33.11 | $50.12 | $75.86 |
United Setting Facility Modifier None Typical Low $56.23 Median $93.33 Typical High $117.49 | Facility | None | $56.23 | $93.33 | $117.49 |
United Setting Professional Modifier None Typical Low $26.30 Median $35.48 Typical High $51.29 | Professional | None | $26.30 | $35.48 | $51.29 |
Wellmark Setting Professional Modifier None Typical Low $48.98 Median $63.10 Typical High $63.10 | Professional | None | $48.98 | $63.10 | $63.10 |
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 $16.22 Median $20.89 Typical High $20.89 | Professional | 52 · Reduced service | $16.22 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $6.46 | $8.51 | $8.51 |
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· 7th of 51
$46.77
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.