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 $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $60.26 | Professional | None | $44.67 | $52.48 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $77.62 Typical High $114.82 | Professional | None | $69.18 | $77.62 | $114.82 |
Hally Health Setting Professional Modifier None Typical Low $40.74 Median $56.23 Typical High $154.88 | Professional | None | $40.74 | $56.23 | $154.88 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $79.43 Typical High $131.83 | Facility | None | $66.07 | $79.43 | $131.83 |
Medica Setting Professional Modifier None Typical Low $60.26 Median $79.43 Typical High $346.74 | Professional | None | $60.26 | $79.43 | $346.74 |
Midlands Setting Professional Modifier None Typical Low $66.07 Median $77.62 Typical High $114.82 | Professional | None | $66.07 | $77.62 | $114.82 |
Midlands Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $134.90 | Professional | None | $114.82 | $134.90 | $134.90 |
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 $54.95 Median $72.44 Typical High $125.89 | Professional | None | $54.95 | $72.44 | $125.89 |
Wellmark Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $89.13 | Professional | None | $75.86 | $75.86 | $89.13 |
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 $21.38 Median $26.30 Typical High $26.30 | Professional | 52 · Reduced service | $21.38 | $26.30 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $10.47 Typical High $10.47 | Professional | 53 · Discontinued | $8.71 | $10.47 | $10.47 |
Where Iowa sits
The same service costs 2.6 times more in Nebraska 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· 11th of 51
$77.62
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.