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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $69.18 Typical High $69.18 | Professional | None | $57.54 | $69.18 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $109.65 Typical High $147.91 | Professional | None | $72.44 | $109.65 | $147.91 |
Hally Health Setting Professional Modifier None Typical Low $57.54 Median $75.86 Typical High $199.53 | Professional | None | $57.54 | $75.86 | $199.53 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $109.65 Typical High $144.54 | Facility | None | $104.71 | $109.65 | $144.54 |
Medica Setting Professional Modifier None Typical Low $79.43 Median $104.71 Typical High $389.05 | Professional | None | $79.43 | $104.71 | $389.05 |
Midlands Setting Professional Modifier None Typical Low $107.15 Median $109.65 Typical High $125.89 | Professional | None | $107.15 | $109.65 | $125.89 |
Midlands Setting Professional Modifier None Typical Low $83.18 Median $107.15 Typical High $218.78 | Professional | None | $83.18 | $107.15 | $218.78 |
Oscar Health Setting Professional Modifier None Typical Low $56.23 Median $102.33 Typical High $128.82 | Professional | None | $56.23 | $102.33 | $128.82 |
United Setting Professional Modifier None Typical Low $67.61 Median $100.00 Typical High $165.96 | Professional | None | $67.61 | $100.00 | $165.96 |
Wellmark Setting Professional Modifier None Typical Low $79.43 Median $83.18 Typical High $97.72 | Professional | None | $79.43 | $83.18 | $97.72 |
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 $11.48 Median $13.80 Typical High $13.80 | Professional | 53 · Discontinued | $11.48 | $13.80 | $13.80 |
Where Iowa sits
The same service costs 3.1 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· 8th of 51
$105
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.