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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $128.82 Typical High $128.82 | Professional | None | $97.72 | $128.82 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $245.47 Typical High $275.42 | Professional | None | $181.97 | $245.47 | $275.42 |
Hally Health Setting Professional Modifier None Typical Low $104.71 Median $134.90 Typical High $489.78 | Professional | None | $104.71 | $134.90 | $489.78 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $199.53 Typical High $275.42 | Facility | None | $77.62 | $199.53 | $275.42 |
Medica Setting Professional Modifier None Typical Low $158.49 Median $257.04 Typical High $660.69 | Professional | None | $158.49 | $257.04 | $660.69 |
Midlands Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $281.84 | Professional | None | $245.47 | $245.47 | $281.84 |
Midlands Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $416.87 | Professional | None | $275.42 | $275.42 | $416.87 |
Oscar Health Setting Professional Modifier None Typical Low $95.50 Median $181.97 Typical High $239.88 | Professional | None | $95.50 | $181.97 | $239.88 |
United Setting Facility Modifier None Typical Low $56.23 Median $93.33 Typical High $117.49 | Facility | None | $56.23 | $93.33 | $117.49 |
United Setting Professional Modifier None Typical Low $120.23 Median $194.98 Typical High $295.12 | Professional | None | $120.23 | $194.98 | $295.12 |
Wellmark Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $251.19 | Professional | None | $177.83 | $208.93 | $251.19 |
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 $48.98 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $48.98 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $19.50 | $25.70 | $25.70 |
Where Iowa sits
The same service costs 2.7 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
$214
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.