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 $30.90 Median $34.67 Typical High $40.74 | Facility | None | $30.90 | $34.67 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $34.67 Typical High $40.74 | Professional | None | $30.90 | $34.67 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $54.95 Typical High $75.86 | Professional | None | $38.90 | $54.95 | $75.86 |
Hally Health Setting Professional Modifier None Typical Low $27.54 Median $33.88 Typical High $229.09 | Professional | None | $27.54 | $33.88 | $229.09 |
Medica Setting Facility Modifier None Typical Low $45.71 Median $79.43 Typical High $1,000.00 | Facility | None | $45.71 | $79.43 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $32.36 Median $77.62 Typical High $218.78 | Professional | None | $32.36 | $77.62 | $218.78 |
Midlands Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $75.86 | Professional | None | $64.57 | $64.57 | $75.86 |
Midlands Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $93.33 | Professional | None | $89.13 | $89.13 | $93.33 |
Oscar Health Setting Professional Modifier None Typical Low $31.62 Median $32.36 Typical High $72.44 | Professional | None | $31.62 | $32.36 | $72.44 |
United Setting Facility Modifier None Typical Low $676.08 Median $1,122.02 Typical High $1,412.54 | Facility | None | $676.08 | $1,122.02 | $1,412.54 |
United Setting Professional Modifier None Typical Low $31.62 Median $38.02 Typical High $87.10 | Professional | None | $31.62 | $38.02 | $87.10 |
Wellmark Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $64.57 | Professional | None | $58.88 | $58.88 | $64.57 |
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 $17.38 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $17.38 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $8.13 Typical High $8.13 | Professional | 53 · Discontinued | $6.92 | $8.13 | $8.13 |
Where Iowa sits
The same service costs 2.1 times more in North Dakota 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· 9th of 51
$44.67
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.