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 $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $39.81 Typical High $39.81 | Professional | None | $30.20 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $69.18 Typical High $85.11 | Professional | None | $56.23 | $69.18 | $85.11 |
Hally Health Setting Professional Modifier None Typical Low $29.51 Median $38.90 Typical High $660.69 | Professional | None | $29.51 | $38.90 | $660.69 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $63.10 Typical High $89.13 | Facility | None | $38.90 | $63.10 | $89.13 |
Medica Setting Professional Modifier None Typical Low $47.86 Median $74.13 Typical High $204.17 | Professional | None | $47.86 | $74.13 | $204.17 |
Midlands Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $87.10 | Professional | None | $69.18 | $69.18 | $87.10 |
Midlands Setting Professional Modifier None Typical Low $53.70 Median $66.07 Typical High $123.03 | Professional | None | $53.70 | $66.07 | $123.03 |
Oscar Health Setting Professional Modifier None Typical Low $27.54 Median $48.98 Typical High $61.66 | Professional | None | $27.54 | $48.98 | $61.66 |
United Setting Professional Modifier None Typical Low $36.31 Median $58.88 Typical High $89.13 | Professional | None | $36.31 | $58.88 | $89.13 |
Wellmark Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $63.10 | Professional | None | $53.70 | $53.70 | $63.10 |
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 $15.14 Median $19.95 Typical High $19.95 | Professional | 52 · Reduced service | $15.14 | $19.95 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $6.03 | $7.94 | $7.94 |
Where Iowa sits
The same service costs 3.0 times more in Alaska than in New York. 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· 4th of 51
$63.10
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.