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 $102.33 Median $117.49 Typical High $151.36 | Facility | None | $102.33 | $117.49 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $117.49 Typical High $151.36 | Professional | None | $102.33 | $117.49 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $208.93 Typical High $234.42 | Professional | None | $120.23 | $208.93 | $234.42 |
Hally Health Setting Professional Modifier None Typical Low $91.20 Median $117.49 Typical High $309.03 | Professional | None | $91.20 | $117.49 | $309.03 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $275.42 Typical High $758.58 | Facility | None | $147.91 | $275.42 | $758.58 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $446.68 Typical High $741.31 | Professional | None | $114.82 | $446.68 | $741.31 |
Midlands Setting Professional Modifier None Typical Low $186.21 Median $199.53 Typical High $234.42 | Professional | None | $186.21 | $199.53 | $234.42 |
Midlands Setting Professional Modifier None Typical Low $234.42 Median $288.40 Typical High $309.03 | Professional | None | $234.42 | $288.40 | $309.03 |
Oscar Health Setting Professional Modifier None Typical Low $109.65 Median $117.49 Typical High $239.88 | Professional | None | $109.65 | $117.49 | $239.88 |
United Setting Facility Modifier None Typical Low $323.59 Median $537.03 Typical High $676.08 | Facility | None | $323.59 | $537.03 | $676.08 |
United Setting Professional Modifier None Typical Low $114.82 Median $151.36 Typical High $302.00 | Professional | None | $114.82 | $151.36 | $302.00 |
Wellmark Setting Professional Modifier None Typical Low $154.88 Median $181.97 Typical High $190.55 | Professional | None | $154.88 | $181.97 | $190.55 |
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 $57.54 Median $69.18 Typical High $75.86 | Professional | 52 · Reduced service | $57.54 | $69.18 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $27.54 Typical High $30.20 | Professional | 53 · Discontinued | $22.91 | $27.54 | $30.20 |
Where Iowa sits
The same service costs 2.3 times more in Alaska than in Kentucky. 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
$155
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.