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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $95.50 Typical High $95.50 | Professional | None | $72.44 | $95.50 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $100.00 Typical High $123.03 | Professional | None | $72.44 | $100.00 | $123.03 |
Hally Health Setting Professional Modifier None Typical Low $30.90 Median $58.88 Typical High $134.90 | Professional | None | $30.90 | $58.88 | $134.90 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $87.10 Typical High $181.97 | Facility | None | $35.48 | $87.10 | $181.97 |
Medica Setting Professional Modifier None Typical Low $30.90 Median $77.62 Typical High $181.97 | Professional | None | $30.90 | $77.62 | $181.97 |
Midlands Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $100.00 | Professional | None | $85.11 | $85.11 | $100.00 |
Oscar Health Setting Professional Modifier None Typical Low $72.44 Median $138.04 Typical High $169.82 | Professional | None | $72.44 | $138.04 | $169.82 |
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 $45.71 Median $77.62 Typical High $95.50 | Professional | None | $45.71 | $77.62 | $95.50 |
Wellmark Setting Professional Modifier None Typical Low $107.15 Median $138.04 Typical High $138.04 | Professional | None | $107.15 | $138.04 | $138.04 |
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 $36.31 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $36.31 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $14.45 | $19.05 | $19.05 |
Where Iowa sits
The same service costs 4.5 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
$95.50
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.