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 $64.57 Median $109.65 Typical High $223.87 | Facility | None | $64.57 | $109.65 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $100.00 | Professional | None | $64.57 | $64.57 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $128.82 Typical High $158.49 | Professional | None | $89.13 | $128.82 | $158.49 |
Hally Health Setting Professional Modifier None Typical Low $102.33 Median $125.89 Typical High $177.83 | Professional | None | $102.33 | $125.89 | $177.83 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $151.36 Typical High $218.78 | Facility | None | $97.72 | $151.36 | $218.78 |
Medica Setting Professional Modifier None Typical Low $70.79 Median $125.89 Typical High $630.96 | Professional | None | $70.79 | $125.89 | $630.96 |
Midlands Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $154.88 | Professional | None | $109.65 | $109.65 | $154.88 |
Midlands Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Oscar Health Setting Facility Modifier None Typical Low $194.98 Median $380.19 Typical High $1,047.13 | Facility | None | $194.98 | $380.19 | $1,047.13 |
Oscar Health Setting Professional Modifier None Typical Low $95.50 Median $134.90 Typical High $199.53 | Professional | None | $95.50 | $134.90 | $199.53 |
United Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $169.82 | Facility | None | $107.15 | $107.15 | $169.82 |
United Setting Professional Modifier None Typical Low $64.57 Median $83.18 Typical High $131.83 | Professional | None | $64.57 | $83.18 | $131.83 |
Wellmark Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $147.91 | Professional | None | $120.23 | $120.23 | $147.91 |
1 more rate 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 $32.36 Median $32.36 Typical High $47.86 | Professional | 52 · Reduced service | $32.36 | $32.36 | $47.86 |
Where Iowa sits
The same service costs 3.3 times more in Alaska than in Florida. 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
$120
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.