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 $10.00 Median $10.00 Typical High $26.30 | Facility | None | $10.00 | $10.00 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $19.50 Typical High $26.30 | Professional | None | $8.51 | $19.50 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $25.12 Typical High $46.77 | Professional | None | $16.60 | $25.12 | $46.77 |
Hally Health Setting Professional Modifier None Typical Low $7.59 Median $21.88 Typical High $58.88 | Professional | None | $7.59 | $21.88 | $58.88 |
Medica Setting Facility Modifier None Typical Low $19.95 Median $39.81 Typical High $56.23 | Facility | None | $19.95 | $39.81 | $56.23 |
Medica Setting Professional Modifier None Typical Low $18.62 Median $45.71 Typical High $128.82 | Professional | None | $18.62 | $45.71 | $128.82 |
Midlands Setting Professional Modifier None Typical Low $16.22 Median $38.90 Typical High $46.77 | Professional | None | $16.22 | $38.90 | $46.77 |
Midlands Setting Professional Modifier None Typical Low $21.38 Median $44.67 Typical High $54.95 | Professional | None | $21.38 | $44.67 | $54.95 |
Oscar Health Setting Professional Modifier None Typical Low $7.41 Median $20.42 Typical High $47.86 | Professional | None | $7.41 | $20.42 | $47.86 |
United Setting Professional Modifier None Typical Low $10.00 Median $21.38 Typical High $46.77 | Professional | None | $10.00 | $21.38 | $46.77 |
Wellmark Setting Professional Modifier None Typical Low $12.88 Median $15.85 Typical High $47.86 | Professional | None | $12.88 | $15.85 | $47.86 |
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 $4.27 Median $8.71 Typical High $13.18 | Professional | 52 · Reduced service | $4.27 | $8.71 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $3.63 Typical High $5.25 | Professional | 53 · Discontinued | $1.74 | $3.63 | $5.25 |
Where Iowa sits
The same service costs 3.7 times more in Alaska than in Washington, DC. 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· 3rd of 51
$25.12
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.