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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $151.36 Typical High $263.03 | Professional | None | $125.89 | $151.36 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $398.11 Typical High $426.58 | Professional | None | $269.15 | $398.11 | $426.58 |
Hally Health Setting Professional Modifier None Typical Low $117.49 Median $302.00 Typical High $407.38 | Professional | None | $117.49 | $302.00 | $407.38 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $338.84 Typical High $467.74 | Facility | None | $194.98 | $338.84 | $467.74 |
Medica Setting Professional Modifier None Typical Low $165.96 Median $371.54 Typical High $1,318.26 | Professional | None | $165.96 | $371.54 | $1,318.26 |
Midlands Setting Professional Modifier None Typical Low $338.84 Median $398.11 Typical High $398.11 | Professional | None | $338.84 | $398.11 | $398.11 |
Midlands Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Oscar Health Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Oscar Health Setting Professional Modifier None Typical Low $125.89 Median $245.47 Typical High $295.12 | Professional | None | $125.89 | $245.47 | $295.12 |
United Setting Facility Modifier None Typical Low $141.25 Median $239.88 Typical High $302.00 | Facility | None | $141.25 | $239.88 | $302.00 |
United Setting Professional Modifier None Typical Low $169.82 Median $275.42 Typical High $446.68 | Professional | None | $169.82 | $275.42 | $446.68 |
Wellmark Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $323.59 | Professional | None | $275.42 | $275.42 | $323.59 |
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 $74.13 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $74.13 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $29.51 | $32.36 | $32.36 |
Where Iowa sits
The same service costs 5.0 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· 10th of 51
$275
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.