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 $22.39 Median $22.91 Typical High $151.36 | Facility | None | $22.39 | $22.91 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $22.39 Typical High $45.71 | Professional | None | $17.78 | $22.39 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $44.67 Typical High $54.95 | Professional | None | $36.31 | $44.67 | $54.95 |
Hally Health Setting Professional Modifier None Typical Low $16.98 Median $26.92 Typical High $87.10 | Professional | None | $16.98 | $26.92 | $87.10 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $60.26 Typical High $288.40 | Facility | None | $43.65 | $60.26 | $288.40 |
Medica Setting Professional Modifier None Typical Low $37.15 Median $48.98 Typical High $371.54 | Professional | None | $37.15 | $48.98 | $371.54 |
Midlands Setting Professional Modifier None Typical Low $43.65 Median $44.67 Typical High $48.98 | Professional | None | $43.65 | $44.67 | $48.98 |
Midlands Setting Professional Modifier None Typical Low $42.66 Median $48.98 Typical High $131.83 | Professional | None | $42.66 | $48.98 | $131.83 |
Oscar Health Setting Professional Modifier None Typical Low $17.38 Median $33.11 Typical High $42.66 | Professional | None | $17.38 | $33.11 | $42.66 |
United Setting Facility Modifier None Typical Low $199.53 Median $331.13 Typical High $416.87 | Facility | None | $199.53 | $331.13 | $416.87 |
United Setting Professional Modifier None Typical Low $20.89 Median $39.81 Typical High $67.61 | Professional | None | $20.89 | $39.81 | $67.61 |
Wellmark Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $46.77 | Professional | None | $32.36 | $38.02 | $46.77 |
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 $8.71 Median $11.22 Typical High $11.48 | Professional | 52 · Reduced service | $8.71 | $11.22 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $4.47 Typical High $4.57 | Professional | 53 · Discontinued | $3.47 | $4.47 | $4.57 |
Where Iowa sits
The same service costs 2.7 times more in Alaska than in Maryland. 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
$43.65
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.