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 $223.87 Typical High $316.23 | Facility | None | $112.20 | $223.87 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $120.23 Typical High $162.18 | Professional | None | $100.00 | $120.23 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $213.80 Typical High $263.03 | Professional | None | $134.90 | $213.80 | $263.03 |
Hally Health Setting Professional Modifier None Typical Low $89.13 Median $123.03 Typical High $275.42 | Professional | None | $89.13 | $123.03 | $275.42 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $263.03 Typical High $1,288.25 | Facility | None | $165.96 | $263.03 | $1,288.25 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $501.19 Typical High $812.83 | Professional | None | $123.03 | $501.19 | $812.83 |
Midlands Setting Professional Modifier None Typical Low $181.97 Median $223.87 Typical High $257.04 | Professional | None | $181.97 | $223.87 | $257.04 |
Midlands Setting Professional Modifier None Typical Low $263.03 Median $302.00 Typical High $338.84 | Professional | None | $263.03 | $302.00 | $338.84 |
Oscar Health Setting Professional Modifier None Typical Low $109.65 Median $125.89 Typical High $234.42 | Professional | None | $109.65 | $125.89 | $234.42 |
United Setting Facility Modifier None Typical Low $562.34 Median $933.25 Typical High $1,174.90 | Facility | None | $562.34 | $933.25 | $1,174.90 |
United Setting Professional Modifier None Typical Low $123.03 Median $154.88 Typical High $309.03 | Professional | None | $123.03 | $154.88 | $309.03 |
Wellmark Setting Professional Modifier None Typical Low $151.36 Median $181.97 Typical High $190.55 | Professional | None | $151.36 | $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 $61.66 Median $66.07 Typical High $81.28 | Professional | 52 · Reduced service | $61.66 | $66.07 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.92 Typical High $32.36 | Professional | 53 · Discontinued | $24.55 | $26.92 | $32.36 |
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· 6th of 51
$158
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.