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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $104.71 Typical High $104.71 | Professional | None | $81.28 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $147.91 Typical High $147.91 | Professional | None | $81.28 | $147.91 | $147.91 |
Hally Health Setting Professional Modifier None Typical Low $38.02 Median $69.18 Typical High $117.49 | Professional | None | $38.02 | $69.18 | $117.49 |
Medica Setting Facility Modifier None Typical Low $41.69 Median $169.82 Typical High $398.11 | Facility | None | $41.69 | $169.82 | $398.11 |
Medica Setting Professional Modifier None Typical Low $38.02 Median $91.20 Typical High $208.93 | Professional | None | $38.02 | $91.20 | $208.93 |
Midlands Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $147.91 | Professional | None | $125.89 | $125.89 | $147.91 |
Oscar Health Setting Professional Modifier None Typical Low $79.43 Median $154.88 Typical High $186.21 | Professional | None | $79.43 | $154.88 | $186.21 |
United Setting Facility Modifier None Typical Low $190.55 Median $323.59 Typical High $407.38 | Facility | None | $190.55 | $323.59 | $407.38 |
United Setting Professional Modifier None Typical Low $60.26 Median $87.10 Typical High $112.20 | Professional | None | $60.26 | $87.10 | $112.20 |
Wellmark Setting Professional Modifier None Typical Low $120.23 Median $154.88 Typical High $154.88 | Professional | None | $120.23 | $154.88 | $154.88 |
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 $40.74 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $40.74 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $16.22 | $21.38 | $21.38 |
Where Iowa sits
The same service costs 4.1 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· 5th of 51
$120
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.