How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $147.91 Typical High $147.91 | Professional | None | $128.82 | $147.91 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $309.03 Typical High $346.74 | Professional | None | $158.49 | $309.03 | $346.74 |
Hally Health Setting Professional Modifier None Typical Low $107.15 Median $154.88 Typical High $630.96 | Professional | None | $107.15 | $154.88 | $630.96 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $234.42 Typical High $338.84 | Facility | None | $151.36 | $234.42 | $338.84 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $234.42 Typical High $616.60 | Professional | None | $125.89 | $234.42 | $616.60 |
Midlands Setting Professional Modifier None Typical Low $309.03 Median $316.23 Typical High $346.74 | Professional | None | $309.03 | $316.23 | $346.74 |
United Setting Professional Modifier None Typical Low $128.82 Median $186.21 Typical High $323.59 | Professional | None | $128.82 | $186.21 | $323.59 |
Wellmark Setting Professional Modifier None Typical Low $181.97 Median $213.80 Typical High $213.80 | Professional | None | $181.97 | $213.80 | $213.80 |
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 $64.57 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $64.57 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $25.70 | $29.51 | $29.51 |
Where Iowa sits
The same service costs 21.4 times more in Alaska than in New York. 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
$186
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.