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 $14.45 Median $28.84 Typical High $117.49 | Facility | None | $14.45 | $28.84 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $30.90 Typical High $74.13 | Professional | None | $13.18 | $30.90 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $47.86 Typical High $97.72 | Professional | None | $21.38 | $47.86 | $97.72 |
Hally Health Setting Professional Modifier None Typical Low $12.59 Median $53.70 Typical High $120.23 | Professional | None | $12.59 | $53.70 | $120.23 |
Medica Setting Facility Modifier None Typical Low $22.39 Median $95.50 Typical High $177.83 | Facility | None | $22.39 | $95.50 | $177.83 |
Medica Setting Professional Modifier None Typical Low $22.91 Median $93.33 Typical High $323.59 | Professional | None | $22.91 | $93.33 | $323.59 |
Midlands Setting Professional Modifier None Typical Low $21.38 Median $81.28 Typical High $97.72 | Professional | None | $21.38 | $81.28 | $97.72 |
Midlands Setting Professional Modifier None Typical Low $21.38 Median $70.79 Typical High $138.04 | Professional | None | $21.38 | $70.79 | $138.04 |
Oscar Health Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $6,025.60 | Facility | None | $3,090.30 | $3,090.30 | $6,025.60 |
Oscar Health Setting Professional Modifier None Typical Low $12.30 Median $48.98 Typical High $112.20 | Professional | None | $12.30 | $48.98 | $112.20 |
United Setting Professional Modifier None Typical Low $15.85 Median $41.69 Typical High $114.82 | Professional | None | $15.85 | $41.69 | $114.82 |
Wellmark Setting Professional Modifier None Typical Low $16.22 Median $19.95 Typical High $93.33 | Professional | None | $16.22 | $19.95 | $93.33 |
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 53 · Discontinued Typical Low $2.57 Median $3.39 Typical High $12.02 | Professional | 53 · Discontinued | $2.57 | $3.39 | $12.02 |
Where Iowa sits
The same service costs 6.8 times more in Minnesota than in Georgia. 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· 7th of 51
$61.66
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.