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 $14.45 Median $28.18 Typical High $87.10 | Facility | None | $14.45 | $28.18 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $28.84 Typical High $63.10 | Professional | None | $12.02 | $28.84 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $41.69 Typical High $95.50 | Professional | None | $23.44 | $41.69 | $95.50 |
Hally Health Setting Professional Modifier None Typical Low $12.30 Median $42.66 Typical High $107.15 | Professional | None | $12.30 | $42.66 | $107.15 |
Medica Setting Facility Modifier None Typical Low $28.18 Median $69.18 Typical High $102.33 | Facility | None | $28.18 | $69.18 | $102.33 |
Medica Setting Professional Modifier None Typical Low $27.54 Median $74.13 Typical High $245.47 | Professional | None | $27.54 | $74.13 | $245.47 |
Midlands Setting Professional Modifier None Typical Low $28.18 Median $75.86 Typical High $95.50 | Professional | None | $28.18 | $75.86 | $95.50 |
Midlands Setting Professional Modifier None Typical Low $28.84 Median $91.20 Typical High $107.15 | Professional | None | $28.84 | $91.20 | $107.15 |
Oscar Health Setting Facility Modifier None Typical Low $575.44 Median $4,265.80 Typical High $6,165.95 | Facility | None | $575.44 | $4,265.80 | $6,165.95 |
United Setting Professional Modifier None Typical Low $13.18 Median $36.31 Typical High $93.33 | Professional | None | $13.18 | $36.31 | $93.33 |
Wellmark Setting Professional Modifier None Typical Low $19.95 Median $24.55 Typical High $87.10 | Professional | None | $19.95 | $24.55 | $87.10 |
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 $6.17 Median $11.75 Typical High $22.39 | Professional | 52 · Reduced service | $6.17 | $11.75 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $4.68 Typical High $9.12 | Professional | 53 · Discontinued | $2.51 | $4.68 | $9.12 |
Where Iowa sits
The same service costs 2.5 times more in Kansas than in Maryland. 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· 7th of 51
$46.77
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.