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 Professional Modifier None Typical Low $28.18 Median $30.20 Typical High $33.11 | Professional | None | $28.18 | $30.20 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $57.54 Typical High $83.18 | Professional | None | $56.23 | $57.54 | $83.18 |
Hally Health Setting Professional Modifier None Typical Low $27.54 Median $34.67 Typical High $91.20 | Professional | None | $27.54 | $34.67 | $91.20 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $69.18 Typical High $758.58 | Facility | None | $30.20 | $69.18 | $758.58 |
Medica Setting Professional Modifier None Typical Low $15.14 Median $53.70 Typical High $194.98 | Professional | None | $15.14 | $53.70 | $194.98 |
Midlands Setting Professional Modifier None Typical Low $79.43 Median $83.18 Typical High $83.18 | Professional | None | $79.43 | $83.18 | $83.18 |
Midlands Setting Professional Modifier None Typical Low $79.43 Median $83.18 Typical High $83.18 | Professional | None | $79.43 | $83.18 | $83.18 |
Oscar Health Setting Professional Modifier None Typical Low $32.36 Median $63.10 Typical High $75.86 | Professional | None | $32.36 | $63.10 | $75.86 |
United Setting Facility Modifier None Typical Low $323.59 Median $537.03 Typical High $676.08 | Facility | None | $323.59 | $537.03 | $676.08 |
United Setting Professional Modifier None Typical Low $28.84 Median $44.67 Typical High $75.86 | Professional | None | $28.84 | $44.67 | $75.86 |
Wellmark Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $75.86 | Professional | None | $64.57 | $64.57 | $75.86 |
3 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 Facility Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | 53 · Discontinued | $7.59 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $19.05 Typical High $19.05 | Professional | 52 · Reduced service | $14.45 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $7.59 Typical High $7.59 | Professional | 53 · Discontinued | $5.89 | $7.59 | $7.59 |
Where Iowa sits
The same service costs 3.6 times more in Minnesota than in Kentucky. 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
$58.88
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.