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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $100.00 | $131.83 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $234.42 Typical High $275.42 | Professional | None (both parts) | $223.87 | $234.42 | $275.42 |
Hally Health Setting Professional Modifier None Typical Low $97.72 Median $151.36 Typical High $363.08 | Professional | None | $97.72 | $151.36 | $363.08 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $257.04 Typical High $2,454.71 | Facility | None | $158.49 | $257.04 | $2,454.71 |
Medica Setting Professional Modifier None (both parts) Typical Low $154.88 Median $239.88 Typical High $691.83 | Professional | None (both parts) | $154.88 | $239.88 | $691.83 |
Midlands Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $295.12 | Professional | None | $234.42 | $234.42 | $295.12 |
Midlands Setting Professional Modifier None (both parts) Typical Low $288.40 Median $316.23 Typical High $380.19 | Professional | None (both parts) | $288.40 | $316.23 | $380.19 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,137.96 Typical High $2,691.53 | Facility | None | $1,288.25 | $2,137.96 | $2,691.53 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $194.98 Typical High $302.00 | Professional | None (both parts) | $120.23 | $194.98 | $302.00 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $204.17 | Professional | None (both parts) | $173.78 | $173.78 | $204.17 |
4 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 $50.12 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $50.12 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $19.95 | $26.30 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $194.98 Typical High $245.47 | Professional | TC · Technical part | $134.90 | $194.98 | $245.47 |
Medica Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | TC · Technical part | $602.56 | $602.56 | $602.56 |
Where Iowa sits
The same service costs 3.2 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· 4th of 51
$204
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.