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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $138.04 Typical High $141.25 | Professional | None | $107.15 | $138.04 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $181.97 Typical High $323.59 | Professional | None | $144.54 | $181.97 | $323.59 |
Hally Health Setting Professional Modifier None Typical Low $58.88 Median $100.00 Typical High $186.21 | Professional | None | $58.88 | $100.00 | $186.21 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $144.54 Typical High $281.84 | Facility | None | $64.57 | $144.54 | $281.84 |
Medica Setting Professional Modifier None Typical Low $79.43 Median $162.18 Typical High $316.23 | Professional | None | $79.43 | $162.18 | $316.23 |
Midlands Setting Professional Modifier None Typical Low $141.25 Median $165.96 Typical High $323.59 | Professional | None | $141.25 | $165.96 | $323.59 |
Oscar Health Setting Professional Modifier None Typical Low $107.15 Median $204.17 Typical High $245.47 | Professional | None | $107.15 | $204.17 | $245.47 |
United Setting Facility Modifier None Typical Low $89.13 Median $147.91 Typical High $186.21 | Facility | None | $89.13 | $147.91 | $186.21 |
United Setting Professional Modifier None Typical Low $70.79 Median $169.82 Typical High $288.40 | Professional | None | $70.79 | $169.82 | $288.40 |
Wellmark Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $199.53 | Professional | None | $169.82 | $199.53 | $199.53 |
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 $60.26 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $60.26 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $23.99 | $27.54 | $27.54 |
Where Iowa sits
The same service costs 4.2 times more in Alaska than in Alabama. 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· 13th of 51
$166
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.