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 $85.11 Median $85.11 Typical High $229.09 | Facility | None | $85.11 | $85.11 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $85.11 Typical High $134.90 | Professional | None | $74.13 | $85.11 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $186.21 Typical High $223.87 | Professional | None | $144.54 | $186.21 | $223.87 |
Hally Health Setting Professional Modifier None Typical Low $61.66 Median $213.80 Typical High $263.03 | Professional | None | $61.66 | $213.80 | $263.03 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $229.09 Typical High $257.04 | Facility | None | $169.82 | $229.09 | $257.04 |
Medica Setting Professional Modifier None Typical Low $109.65 Median $223.87 Typical High $1,548.82 | Professional | None | $109.65 | $223.87 | $1,548.82 |
Midlands Setting Professional Modifier None Typical Low $158.49 Median $173.78 Typical High $186.21 | Professional | None | $158.49 | $173.78 | $186.21 |
Midlands Setting Professional Modifier None Typical Low $177.83 Median $190.55 Typical High $208.93 | Professional | None | $177.83 | $190.55 | $208.93 |
Oscar Health Setting Professional Modifier None Typical Low $53.70 Median $104.71 Typical High $151.36 | Professional | None | $53.70 | $104.71 | $151.36 |
United Setting Professional Modifier None Typical Low $89.13 Median $154.88 Typical High $239.88 | Professional | None | $89.13 | $154.88 | $239.88 |
Wellmark Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $165.96 | Professional | None | $141.25 | $141.25 | $165.96 |
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 $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $36.31 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $14.79 | $16.98 | $16.98 |
Where Iowa sits
The same service costs 2.8 times more in Minnesota 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· 9th of 51
$151
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.