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 $194.98 Median $194.98 Typical High $199.53 | Facility | None | $194.98 | $194.98 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $194.98 Typical High $199.53 | Professional | None | $151.36 | $194.98 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $363.08 Typical High $416.87 | Professional | None | $275.42 | $363.08 | $416.87 |
Hally Health Setting Professional Modifier None Typical Low $158.49 Median $208.93 Typical High $537.03 | Professional | None | $158.49 | $208.93 | $537.03 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $354.81 Typical High $407.38 | Facility | None | $204.17 | $354.81 | $407.38 |
Medica Setting Professional Modifier None Typical Low $251.19 Median $398.11 Typical High $977.24 | Professional | None | $251.19 | $398.11 | $977.24 |
Midlands Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $416.87 | Professional | None | $363.08 | $363.08 | $416.87 |
Midlands Setting Professional Modifier None Typical Low $363.08 Median $407.38 Typical High $630.96 | Professional | None | $363.08 | $407.38 | $630.96 |
Oscar Health Setting Professional Modifier None Typical Low $144.54 Median $275.42 Typical High $363.08 | Professional | None | $144.54 | $275.42 | $363.08 |
United Setting Professional Modifier None Typical Low $177.83 Median $269.15 Typical High $426.58 | Professional | None | $177.83 | $269.15 | $426.58 |
Wellmark Setting Professional Modifier None Typical Low $269.15 Median $316.23 Typical High $389.05 | Professional | None | $269.15 | $316.23 | $389.05 |
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 $75.86 Median $97.72 Typical High $100.00 | Professional | 52 · Reduced service | $75.86 | $97.72 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $38.90 Typical High $39.81 | Professional | 53 · Discontinued | $30.20 | $38.90 | $39.81 |
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
$331
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.