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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $61.66 Typical High $64.57 | Professional | None | $47.86 | $61.66 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $123.03 Typical High $131.83 | Professional | None | $89.13 | $123.03 | $131.83 |
Hally Health Setting Professional Modifier None Typical Low $50.12 Median $64.57 Typical High $251.19 | Professional | None | $50.12 | $64.57 | $251.19 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $125.89 Typical High $223.87 | Facility | None | $67.61 | $125.89 | $223.87 |
Medica Setting Professional Modifier None Typical Low $83.18 Median $131.83 Typical High $331.13 | Professional | None | $83.18 | $131.83 | $331.13 |
Midlands Setting Professional Modifier None Typical Low $123.03 Median $125.89 Typical High $138.04 | Professional | None | $123.03 | $125.89 | $138.04 |
Midlands Setting Professional Modifier None Typical Low $125.89 Median $138.04 Typical High $208.93 | Professional | None | $125.89 | $138.04 | $208.93 |
Oscar Health Setting Professional Modifier None Typical Low $45.71 Median $87.10 Typical High $112.20 | Professional | None | $45.71 | $87.10 | $112.20 |
United Setting Facility Modifier None Typical Low $141.25 Median $239.88 Typical High $302.00 | Facility | None | $141.25 | $239.88 | $302.00 |
United Setting Professional Modifier None Typical Low $58.88 Median $91.20 Typical High $144.54 | Professional | None | $58.88 | $91.20 | $144.54 |
Wellmark Setting Professional Modifier None Typical Low $85.11 Median $100.00 Typical High $120.23 | Professional | None | $85.11 | $100.00 | $120.23 |
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 $23.44 Median $30.20 Typical High $30.90 | Professional | 52 · Reduced service | $23.44 | $30.20 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $12.30 Typical High $12.30 | Professional | 53 · Discontinued | $9.33 | $12.30 | $12.30 |
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
$107
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.