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 $112.20 Median $194.98 Typical High $223.87 | Facility | None | $112.20 | $194.98 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $112.20 Typical High $117.49 | Professional | None | $87.10 | $112.20 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $213.80 Typical High $245.47 | Professional | None | $112.20 | $213.80 | $245.47 |
Hally Health Setting Professional Modifier None Typical Low $83.18 Median $128.82 Typical High $426.58 | Professional | None | $83.18 | $128.82 | $426.58 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $213.80 Typical High $239.88 | Facility | None | $97.72 | $213.80 | $239.88 |
Medica Setting Professional Modifier None Typical Low $64.57 Median $208.93 Typical High $741.31 | Professional | None | $64.57 | $208.93 | $741.31 |
Midlands Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $245.47 | Professional | None | $213.80 | $213.80 | $245.47 |
Midlands Setting Professional Modifier None Typical Low $165.96 Median $234.42 Typical High $467.74 | Professional | None | $165.96 | $234.42 | $467.74 |
Oscar Health Setting Professional Modifier None Typical Low $89.13 Median $165.96 Typical High $204.17 | Professional | None | $89.13 | $165.96 | $204.17 |
United Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $158.49 | Facility | None | $100.00 | $100.00 | $158.49 |
United Setting Professional Modifier None Typical Low $95.50 Median $147.91 Typical High $251.19 | Professional | None | $95.50 | $147.91 | $251.19 |
Wellmark Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $158.49 | Professional | None | $134.90 | $134.90 | $158.49 |
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 $42.66 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $42.66 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $17.38 | $22.39 | $22.39 |
Where Iowa sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 6th of 51
$174
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.