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 $162.18 Median $162.18 Typical High $165.96 | Facility | None | $162.18 | $162.18 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $162.18 Typical High $165.96 | Professional | None | $125.89 | $162.18 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $309.03 Typical High $354.81 | Professional | None | $229.09 | $309.03 | $354.81 |
Hally Health Setting Professional Modifier None Typical Low $131.83 Median $173.78 Typical High $467.74 | Professional | None | $131.83 | $173.78 | $467.74 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $302.00 Typical High $346.74 | Facility | None | $169.82 | $302.00 | $346.74 |
Medica Setting Professional Modifier None Typical Low $208.93 Median $331.13 Typical High $1,258.93 | Professional | None | $208.93 | $331.13 | $1,258.93 |
Midlands Setting Professional Modifier None Typical Low $309.03 Median $316.23 Typical High $354.81 | Professional | None | $309.03 | $316.23 | $354.81 |
Midlands Setting Professional Modifier None Typical Low $316.23 Median $346.74 Typical High $537.03 | Professional | None | $316.23 | $346.74 | $537.03 |
Oscar Health Setting Professional Modifier None Typical Low $120.23 Median $229.09 Typical High $302.00 | Professional | None | $120.23 | $229.09 | $302.00 |
United Setting Professional Modifier None Typical Low $147.91 Median $229.09 Typical High $363.08 | Professional | None | $147.91 | $229.09 | $363.08 |
Wellmark Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $323.59 | Professional | None | $223.87 | $263.03 | $323.59 |
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 $63.10 Median $81.28 Typical High $83.18 | Professional | 52 · Reduced service | $63.10 | $81.28 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $32.36 Typical High $33.11 | Professional | 53 · Discontinued | $25.12 | $32.36 | $33.11 |
Where Iowa sits
The same service costs 2.8 times more in Alaska than in Florida. 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· 2nd of 51
$275
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.