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 $288.40 Median $288.40 Typical High $776.25 | Facility | None | $288.40 | $288.40 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $288.40 Typical High $288.40 | Professional | None | $63.10 | $288.40 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $478.63 Typical High $660.69 | Professional | None | $407.38 | $478.63 | $660.69 |
Hally Health Setting Professional Modifier None Typical Low $229.09 Median $302.00 Typical High $1,202.26 | Professional | None | $229.09 | $302.00 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $389.05 Typical High $630.96 | Facility | None | $218.78 | $389.05 | $630.96 |
Medica Setting Professional Modifier None Typical Low $42.66 Median $107.15 Typical High $1,258.93 | Professional | None | $42.66 | $107.15 | $1,258.93 |
Midlands Setting Professional Modifier None Typical Low $575.44 Median $645.65 Typical High $645.65 | Professional | None | $575.44 | $645.65 | $645.65 |
Midlands Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None | $630.96 | $630.96 | $630.96 |
Oscar Health Setting Professional Modifier None Typical Low $234.42 Median $446.68 Typical High $537.03 | Professional | None | $234.42 | $446.68 | $537.03 |
United Setting Facility Modifier None Typical Low $199.53 Median $331.13 Typical High $416.87 | Facility | None | $199.53 | $331.13 | $416.87 |
United Setting Professional Modifier None Typical Low $41.69 Median $58.88 Typical High $109.65 | Professional | None | $41.69 | $58.88 | $109.65 |
Wellmark Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $588.84 | Professional | None | $501.19 | $501.19 | $588.84 |
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 $112.20 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $112.20 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $44.67 | $57.54 | $57.54 |
Where Iowa sits
The same service costs 13.5 times more in Minnesota 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· 8th of 51
$407
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.