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 $1.95 Median $2.19 Typical High $2.57 | Facility | None | $1.95 | $2.19 | $2.57 |
Aetna Setting Professional Modifier None Typical Low $1.95 Median $2.19 Typical High $2.57 | Professional | None | $1.95 | $2.19 | $2.57 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $4.27 Typical High $5.01 | Professional | None | $2.45 | $4.27 | $5.01 |
Hally Health Setting Professional Modifier None Typical Low $1.74 Median $2.14 Typical High $91.20 | Professional | None | $1.74 | $2.14 | $91.20 |
Medica Setting Facility Modifier None Typical Low $2.34 Median $4.57 Typical High $66.07 | Facility | None | $2.34 | $4.57 | $66.07 |
Medica Setting Professional Modifier None Typical Low $2.00 Median $4.17 Typical High $13.18 | Professional | None | $2.00 | $4.17 | $13.18 |
Midlands Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $4.27 | Professional | None | $3.63 | $3.63 | $4.27 |
Midlands Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $6.03 | Professional | None | $4.68 | $4.68 | $6.03 |
Oscar Health Setting Professional Modifier None Typical Low $1.74 Median $2.24 Typical High $4.90 | Professional | None | $1.74 | $2.24 | $4.90 |
United Setting Facility Modifier None Typical Low $43.65 Median $72.44 Typical High $91.20 | Facility | None | $43.65 | $72.44 | $91.20 |
United Setting Professional Modifier None Typical Low $1.74 Median $2.24 Typical High $4.68 | Professional | None | $1.74 | $2.24 | $4.68 |
Wellmark Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $3.98 | Professional | None | $3.63 | $3.63 | $3.98 |
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 $1.12 Median $1.29 Typical High $1.29 | Professional | 52 · Reduced service | $1.12 | $1.29 | $1.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.44 Median $0.51 Typical High $0.51 | Professional | 53 · Discontinued | $0.44 | $0.51 | $0.51 |
Where Iowa sits
The same service costs 2.2 times more in North Dakota 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· 2nd of 51
$3.55
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.