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 $6.46 Median $6.46 Typical High $6.46 | Facility | None | $6.46 | $6.46 | $6.46 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | None | $6.46 | $6.46 | $6.46 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $14.79 Typical High $15.14 | Professional | None | $10.23 | $14.79 | $15.14 |
Hally Health Setting Professional Modifier None Typical Low $4.79 Median $25.12 Typical High $43.65 | Professional | None | $4.79 | $25.12 | $43.65 |
Medica Setting Facility Modifier None Typical Low $12.30 Median $14.45 Typical High $316.23 | Facility | None | $12.30 | $14.45 | $316.23 |
Medica Setting Professional Modifier None Typical Low $7.08 Median $14.45 Typical High $426.58 | Professional | None | $7.08 | $14.45 | $426.58 |
Midlands Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Midlands Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
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 $5.13 Median $10.00 Typical High $23.99 | Professional | None | $5.13 | $10.00 | $23.99 |
Wellmark Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $14.13 | Professional | None | $12.02 | $12.02 | $14.13 |
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 $2.63 Median $3.24 Typical High $3.24 | Professional | 52 · Reduced service | $2.63 | $3.24 | $3.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.05 Median $1.32 Typical High $1.32 | Professional | 53 · Discontinued | $1.05 | $1.32 | $1.32 |
Where Iowa sits
The same service costs 3.9 times more in Indiana 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· 13th of 51
$12.02
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.