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 $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $53.70 Typical High $53.70 | Professional | None | $40.74 | $53.70 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $79.43 Typical High $79.43 | Professional | None | $40.74 | $79.43 | $79.43 |
Hally Health Setting Professional Modifier None Typical Low $23.44 Median $37.15 Typical High $81.28 | Professional | None | $23.44 | $37.15 | $81.28 |
Medica Setting Facility Modifier None Typical Low $23.44 Median $77.62 Typical High $104.71 | Facility | None | $23.44 | $77.62 | $104.71 |
Medica Setting Professional Modifier None Typical Low $22.91 Median $44.67 Typical High $102.33 | Professional | None | $22.91 | $44.67 | $102.33 |
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 $39.81 Median $75.86 Typical High $91.20 | Professional | None | $39.81 | $75.86 | $91.20 |
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 $29.51 Median $42.66 Typical High $58.88 | Professional | None | $29.51 | $42.66 | $58.88 |
Wellmark Setting Professional Modifier None Typical Low $58.88 Median $75.86 Typical High $75.86 | Professional | None | $58.88 | $75.86 | $75.86 |
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 $20.42 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $20.42 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $8.32 | $10.72 | $10.72 |
Where Iowa sits
The same service costs 3.5 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· 8th of 51
$54.95
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.