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 $251.19 Median $251.19 Typical High $257.04 | Facility | None | $251.19 | $251.19 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $251.19 Typical High $257.04 | Professional | None | $194.98 | $251.19 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $478.63 Typical High $537.03 | Professional | None | $354.81 | $478.63 | $537.03 |
Hally Health Setting Professional Modifier None Typical Low $204.17 Median $263.03 Typical High $691.83 | Professional | None | $204.17 | $263.03 | $691.83 |
Medica Setting Facility Modifier None Typical Low $269.15 Median $467.74 Typical High $537.03 | Facility | None | $269.15 | $467.74 | $537.03 |
Medica Setting Professional Modifier None Typical Low $331.13 Median $524.81 Typical High $1,288.25 | Professional | None | $331.13 | $524.81 | $1,288.25 |
Midlands Setting Professional Modifier None Typical Low $478.63 Median $489.78 Typical High $549.54 | Professional | None | $478.63 | $489.78 | $549.54 |
Midlands Setting Professional Modifier None Typical Low $489.78 Median $537.03 Typical High $831.76 | Professional | None | $489.78 | $537.03 | $831.76 |
Oscar Health Setting Professional Modifier None Typical Low $190.55 Median $363.08 Typical High $478.63 | Professional | None | $190.55 | $363.08 | $478.63 |
United Setting Professional Modifier None Typical Low $234.42 Median $354.81 Typical High $562.34 | Professional | None | $234.42 | $354.81 | $562.34 |
Wellmark Setting Professional Modifier None Typical Low $354.81 Median $416.87 Typical High $512.86 | Professional | None | $354.81 | $416.87 | $512.86 |
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 $97.72 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $97.72 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $50.12 Typical High $51.29 | Professional | 53 · Discontinued | $38.90 | $50.12 | $51.29 |
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
$437
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.