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 $93.33 Median $120.23 Typical High $120.23 | Facility | None | $93.33 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $120.23 Typical High $120.23 | Professional | None | $91.20 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $229.09 Typical High $229.09 | Professional | None | $117.49 | $229.09 | $229.09 |
Hally Health Setting Professional Modifier None Typical Low $83.18 Median $97.72 Typical High $141.25 | Professional | None | $83.18 | $97.72 | $141.25 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $169.82 Typical High $281.84 | Facility | None | $95.50 | $169.82 | $281.84 |
Medica Setting Professional Modifier None Typical Low $104.71 Median $169.82 Typical High $426.58 | Professional | None | $104.71 | $169.82 | $426.58 |
Midlands Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $245.47 | Professional | None | $194.98 | $194.98 | $245.47 |
Midlands Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $263.03 | Professional | None | $181.97 | $181.97 | $263.03 |
United Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $165.96 | Facility | None | $107.15 | $107.15 | $165.96 |
United Setting Professional Modifier None Typical Low $89.13 Median $151.36 Typical High $269.15 | Professional | None | $89.13 | $151.36 | $269.15 |
Wellmark Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $177.83 | Professional | None | $151.36 | $151.36 | $177.83 |
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 $45.71 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $45.71 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $18.62 | $23.99 | $23.99 |
Where Iowa sits
The same service costs 3.0 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· 5th of 51
$151
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.