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 $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $25.70 Typical High $25.70 | Professional | None | $19.95 | $25.70 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $36.31 Typical High $36.31 | Professional | None | $19.95 | $36.31 | $36.31 |
Hally Health Setting Professional Modifier None Typical Low $15.49 Median $20.42 Typical High $38.02 | Professional | None | $15.49 | $20.42 | $38.02 |
Medica Setting Facility Modifier None Typical Low $21.38 Median $38.90 Typical High $144.54 | Facility | None | $21.38 | $38.90 | $144.54 |
Medica Setting Professional Modifier None Typical Low $15.49 Median $21.38 Typical High $52.48 | Professional | None | $15.49 | $21.38 | $52.48 |
Midlands Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $36.31 | Professional | None | $30.90 | $30.90 | $36.31 |
Oscar Health Setting Professional Modifier None Typical Low $20.89 Median $39.81 Typical High $48.98 | Professional | None | $20.89 | $39.81 | $48.98 |
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 $13.49 Median $18.20 Typical High $26.30 | Professional | None | $13.49 | $18.20 | $26.30 |
Wellmark Setting Professional Modifier None Typical Low $30.90 Median $39.81 Typical High $39.81 | Professional | None | $30.90 | $39.81 | $39.81 |
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 $10.00 Median $12.88 Typical High $12.88 | Professional | 52 · Reduced service | $10.00 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $5.13 Typical High $5.13 | Professional | 53 · Discontinued | $3.98 | $5.13 | $5.13 |
Where Iowa sits
The same service costs 2.6 times more in Alaska than in Florida. 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· 4th of 51
$30.90
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.