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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $70.79 Typical High $70.79 | Professional | None | $53.70 | $70.79 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $109.65 Typical High $109.65 | Professional | None | $53.70 | $109.65 | $109.65 |
Hally Health Setting Professional Modifier None Typical Low $41.69 Median $52.48 Typical High $75.86 | Professional | None | $41.69 | $52.48 | $75.86 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $107.15 Typical High $151.36 | Facility | None | $46.77 | $107.15 | $151.36 |
Medica Setting Professional Modifier None Typical Low $45.71 Median $60.26 Typical High $134.90 | Professional | None | $45.71 | $60.26 | $134.90 |
Midlands Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $109.65 | Professional | None | $93.33 | $93.33 | $109.65 |
Oscar Health Setting Professional Modifier None Typical Low $57.54 Median $109.65 Typical High $131.83 | Professional | None | $57.54 | $109.65 | $131.83 |
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 $41.69 Median $56.23 Typical High $87.10 | Professional | None | $41.69 | $56.23 | $87.10 |
Wellmark Setting Professional Modifier None Typical Low $85.11 Median $109.65 Typical High $109.65 | Professional | None | $85.11 | $109.65 | $109.65 |
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 $26.92 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $26.92 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $10.96 | $14.13 | $14.13 |
Where Iowa sits
The same service costs 2.6 times more in Alaska than in Indiana. 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
$83.18
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.