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 $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $18.62 Typical High $18.62 | Professional | None | $14.45 | $18.62 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $35.48 Typical High $36.31 | Professional | None | $22.39 | $35.48 | $36.31 |
Hally Health Setting Professional Modifier None Typical Low $11.22 Median $15.49 Typical High $47.86 | Professional | None | $11.22 | $15.49 | $47.86 |
Medica Setting Facility Modifier None Typical Low $23.44 Median $38.02 Typical High $95.50 | Facility | None | $23.44 | $38.02 | $95.50 |
Medica Setting Professional Modifier None Typical Low $18.20 Median $30.90 Typical High $47.86 | Professional | None | $18.20 | $30.90 | $47.86 |
Midlands Setting Professional Modifier None Typical Low $30.20 Median $30.90 Typical High $35.48 | Professional | None | $30.20 | $30.90 | $35.48 |
Oscar Health Setting Professional Modifier None Typical Low $13.18 Median $25.70 Typical High $33.88 | Professional | None | $13.18 | $25.70 | $33.88 |
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 $14.13 Median $19.50 Typical High $28.18 | Professional | None | $14.13 | $19.50 | $28.18 |
Wellmark Setting Professional Modifier None Typical Low $20.89 Median $22.39 Typical High $27.54 | Professional | None | $20.89 | $22.39 | $27.54 |
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 $7.24 Median $9.33 Typical High $9.33 | Professional | 52 · Reduced service | $7.24 | $9.33 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.72 Typical High $3.72 | Professional | 53 · Discontinued | $2.88 | $3.72 | $3.72 |
Where Iowa sits
The same service costs 2.7 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· 3rd of 51
$26.30
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.