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 $302.00 Median $302.00 Typical High $309.03 | Facility | None | $302.00 | $302.00 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $302.00 Typical High $309.03 | Professional | None | $234.42 | $302.00 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $588.84 Typical High $660.69 | Professional | None | $426.58 | $588.84 | $660.69 |
Hally Health Setting Professional Modifier None Typical Low $251.19 Median $323.59 Typical High $831.76 | Professional | None | $251.19 | $323.59 | $831.76 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $562.34 Typical High $660.69 | Facility | None | $323.59 | $562.34 | $660.69 |
Medica Setting Professional Modifier None Typical Low $398.11 Median $630.96 Typical High $5,011.87 | Professional | None | $398.11 | $630.96 | $5,011.87 |
Midlands Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $660.69 | Professional | None | $588.84 | $588.84 | $660.69 |
Midlands Setting Professional Modifier None Typical Low $588.84 Median $660.69 Typical High $1,000.00 | Professional | None | $588.84 | $660.69 | $1,000.00 |
Oscar Health Setting Professional Modifier None Typical Low $234.42 Median $436.52 Typical High $575.44 | Professional | None | $234.42 | $436.52 | $575.44 |
United Setting Professional Modifier None Typical Low $281.84 Median $426.58 Typical High $691.83 | Professional | None | $281.84 | $426.58 | $691.83 |
Wellmark Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $616.60 | Professional | None | $426.58 | $501.19 | $616.60 |
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 $117.49 Median $151.36 Typical High $154.88 | Professional | 52 · Reduced service | $117.49 | $151.36 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $60.26 Typical High $61.66 | Professional | 53 · Discontinued | $46.77 | $60.26 | $61.66 |
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
$525
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.