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 $9.55 Median $9.55 Typical High $9.55 | Facility | None | $9.55 | $9.55 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $9.55 Typical High $9.55 | Professional | None | $7.59 | $9.55 | $9.55 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $18.62 Typical High $23.44 | Professional | None | $13.49 | $18.62 | $23.44 |
Hally Health Setting Professional Modifier None Typical Low $7.24 Median $13.49 Typical High $21.88 | Professional | None | $7.24 | $13.49 | $21.88 |
Medica Setting Facility Modifier None Typical Low $15.49 Median $19.95 Typical High $22.39 | Facility | None | $15.49 | $19.95 | $22.39 |
Medica Setting Professional Modifier None Typical Low $12.30 Median $19.05 Typical High $177.83 | Professional | None | $12.30 | $19.05 | $177.83 |
Midlands Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $19.50 | Professional | None | $15.85 | $15.85 | $19.50 |
Midlands Setting Professional Modifier None Typical Low $16.60 Median $20.42 Typical High $20.89 | Professional | None | $16.60 | $20.42 | $20.89 |
United Setting Professional Modifier None Typical Low $8.71 Median $13.49 Typical High $21.88 | Professional | None | $8.71 | $13.49 | $21.88 |
Wellmark Setting Professional Modifier None Typical Low $13.49 Median $15.85 Typical High $19.05 | Professional | None | $13.49 | $15.85 | $19.05 |
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 $3.80 Median $4.79 Typical High $4.79 | Professional | 52 · Reduced service | $3.80 | $4.79 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.91 Typical High $1.91 | Professional | 53 · Discontinued | $1.51 | $1.91 | $1.91 |
Where Iowa sits
The same service costs 2.6 times more in Alaska than in New York. 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
$15.85
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.