How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $28.18 Median $28.18 Typical High $75.86 | Facility | None | $28.18 | $28.18 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $28.18 Typical High $41.69 | Professional | None | $22.91 | $28.18 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $54.95 Typical High $60.26 | Professional | None | $45.71 | $54.95 | $60.26 |
Hally Health Setting Professional Modifier None Typical Low $23.44 Median $29.51 Typical High $70.79 | Professional | None | $23.44 | $29.51 | $70.79 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $53.70 Typical High $61.66 | Facility | None | $43.65 | $53.70 | $61.66 |
Medica Setting Professional Modifier None Typical Low $30.20 Median $53.70 Typical High $151.36 | Professional | None | $30.20 | $53.70 | $151.36 |
Midlands Setting Professional Modifier None Typical Low $46.77 Median $54.95 Typical High $58.88 | Professional | None | $46.77 | $54.95 | $58.88 |
Midlands Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $64.57 | Professional | None | $61.66 | $61.66 | $64.57 |
Oscar Health Setting Professional Modifier None Typical Low $22.91 Median $41.69 Typical High $52.48 | Professional | None | $22.91 | $41.69 | $52.48 |
United Setting Professional Modifier None Typical Low $26.30 Median $38.90 Typical High $72.44 | Professional | None | $26.30 | $38.90 | $72.44 |
Wellmark Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $53.70 | Professional | None | $45.71 | $45.71 | $53.70 |
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 $11.48 Median $14.13 Typical High $14.13 | Professional | 52 · Reduced service | $11.48 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $5.62 Typical High $5.62 | Professional | 53 · Discontinued | $4.57 | $5.62 | $5.62 |
Where Iowa sits
The same service costs 2.8 times more in Alaska than in Florida. 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
$45.71
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.