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 $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $29.51 Typical High $33.88 | Professional | None | $22.91 | $29.51 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $54.95 Typical High $67.61 | Professional | None | $40.74 | $54.95 | $67.61 |
Hally Health Setting Professional Modifier None Typical Low $21.38 Median $27.54 Typical High $43.65 | Professional | None | $21.38 | $27.54 | $43.65 |
Medica Setting Facility Modifier None Typical Low $24.55 Median $48.98 Typical High $104.71 | Facility | None | $24.55 | $48.98 | $104.71 |
Medica Setting Professional Modifier None Typical Low $25.12 Median $40.74 Typical High $66.07 | Professional | None | $25.12 | $40.74 | $66.07 |
Midlands Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $67.61 | Professional | None | $47.86 | $47.86 | $67.61 |
Oscar Health Setting Professional Modifier None Typical Low $22.39 Median $42.66 Typical High $51.29 | Professional | None | $22.39 | $42.66 | $51.29 |
United Setting Facility Modifier None Typical Low $56.23 Median $93.33 Typical High $117.49 | Facility | None | $56.23 | $93.33 | $117.49 |
United Setting Professional Modifier None Typical Low $22.39 Median $32.36 Typical High $57.54 | Professional | None | $22.39 | $32.36 | $57.54 |
Wellmark Setting Professional Modifier None Typical Low $34.67 Median $40.74 Typical High $40.74 | Professional | None | $34.67 | $40.74 | $40.74 |
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 $12.59 Median $14.79 Typical High $14.79 | Professional | 52 · Reduced service | $12.59 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.89 Typical High $5.89 | Professional | 53 · Discontinued | $5.13 | $5.89 | $5.89 |
Where Iowa sits
The same service costs 2.8 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· 8th of 51
$40.74
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.