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 $3.80 Median $4.57 Typical High $7.41 | Facility | None | $3.80 | $4.57 | $7.41 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $4.57 Typical High $4.57 | Professional | None | $3.55 | $4.57 | $4.57 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $9.77 Typical High $10.47 | Professional | None | $7.08 | $9.77 | $10.47 |
Hally Health Setting Professional Modifier None Typical Low $3.39 Median $5.37 Typical High $34.67 | Professional | None | $3.39 | $5.37 | $34.67 |
Medica Setting Facility Modifier None Typical Low $7.94 Median $9.33 Typical High $13.18 | Facility | None | $7.94 | $9.33 | $13.18 |
Medica Setting Professional Modifier None Typical Low $5.37 Median $9.33 Typical High $154.88 | Professional | None | $5.37 | $9.33 | $154.88 |
Midlands Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Midlands Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Oscar Health Setting Professional Modifier None Typical Low $4.17 Median $8.13 Typical High $10.23 | Professional | None | $4.17 | $8.13 | $10.23 |
United Setting Professional Modifier None Typical Low $3.98 Median $6.03 Typical High $9.55 | Professional | None | $3.98 | $6.03 | $9.55 |
Wellmark Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $9.33 | Professional | None | $7.94 | $7.94 | $9.33 |
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 $1.78 Median $2.29 Typical High $2.29 | Professional | 52 · Reduced service | $1.78 | $2.29 | $2.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.91 Typical High $0.91 | Professional | 53 · Discontinued | $0.71 | $0.91 | $0.91 |
Where Iowa sits
The same service costs 2.3 times more in Kansas than in Pennsylvania. 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
$7.94
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.