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 $26.30 Median $26.30 Typical High $35.48 | Facility | None | $26.30 | $26.30 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $33.11 Typical High $41.69 | Professional | None | $26.30 | $33.11 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $63.10 Typical High $75.86 | Professional | None | $41.69 | $63.10 | $75.86 |
Hally Health Setting Professional Modifier None Typical Low $28.84 Median $43.65 Typical High $125.89 | Professional | None | $28.84 | $43.65 | $125.89 |
Medica Setting Facility Modifier None Typical Low $45.71 Median $60.26 Typical High $77.62 | Facility | None | $45.71 | $60.26 | $77.62 |
Medica Setting Professional Modifier None Typical Low $43.65 Median $69.18 Typical High $251.19 | Professional | None | $43.65 | $69.18 | $251.19 |
Midlands Setting Professional Modifier None Typical Low $47.86 Median $57.54 Typical High $75.86 | Professional | None | $47.86 | $57.54 | $75.86 |
Midlands Setting Professional Modifier None Typical Low $57.54 Median $75.86 Typical High $104.71 | Professional | None | $57.54 | $75.86 | $104.71 |
Oscar Health Setting Professional Modifier None Typical Low $28.18 Median $51.29 Typical High $87.10 | Professional | None | $28.18 | $51.29 | $87.10 |
United Setting Professional Modifier None Typical Low $33.11 Median $45.71 Typical High $79.43 | Professional | None | $33.11 | $45.71 | $79.43 |
Wellmark Setting Professional Modifier None Typical Low $36.31 Median $37.15 Typical High $57.54 | Professional | None | $36.31 | $37.15 | $57.54 |
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 $13.18 Median $15.14 Typical High $17.78 | Professional | 52 · Reduced service | $13.18 | $15.14 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.03 Typical High $7.08 | Professional | 53 · Discontinued | $5.37 | $6.03 | $7.08 |
Where Iowa sits
The same service costs 2.4 times more in Alaska than in New Jersey. 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
$48.98
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.