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 $112.20 Median $138.04 Typical High $162.18 | Facility | None | $112.20 | $138.04 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $125.89 Typical High $162.18 | Professional | None | $112.20 | $125.89 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $251.19 Typical High $288.40 | Professional | None | $213.80 | $251.19 | $288.40 |
Hally Health Setting Professional Modifier None Typical Low $100.00 Median $128.82 Typical High $363.08 | Professional | None | $100.00 | $128.82 | $363.08 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $269.15 Typical High $398.11 | Facility | None | $169.82 | $269.15 | $398.11 |
Medica Setting Professional Modifier None Typical Low $93.33 Median $257.04 Typical High $794.33 | Professional | None | $93.33 | $257.04 | $794.33 |
Midlands Setting Professional Modifier None Typical Low $213.80 Median $229.09 Typical High $263.03 | Professional | None | $213.80 | $229.09 | $263.03 |
Midlands Setting Professional Modifier None Typical Low $269.15 Median $331.13 Typical High $354.81 | Professional | None | $269.15 | $331.13 | $354.81 |
Oscar Health Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $199.53 | Professional | None | $93.33 | $93.33 | $199.53 |
United Setting Facility Modifier None Typical Low $190.55 Median $323.59 Typical High $407.38 | Facility | None | $190.55 | $323.59 | $407.38 |
United Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $309.03 | Professional | None | $93.33 | $93.33 | $309.03 |
Wellmark Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $194.98 | Professional | None | $165.96 | $194.98 | $194.98 |
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 $64.57 Median $74.13 Typical High $81.28 | Professional | 52 · Reduced service | $64.57 | $74.13 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $30.20 Typical High $32.36 | Professional | 53 · Discontinued | $25.70 | $30.20 | $32.36 |
Where Iowa sits
The same service costs 2.4 times more in Alaska than in Ohio. 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· 8th of 51
$166
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.