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 $169.82 Median $169.82 Typical High $239.88 | Facility | None | $169.82 | $169.82 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $229.09 Typical High $275.42 | Professional | None | $169.82 | $229.09 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $426.58 Typical High $501.19 | Professional | None | $263.03 | $426.58 | $501.19 |
Hally Health Setting Professional Modifier None Typical Low $186.21 Median $281.84 Typical High $501.19 | Professional | None | $186.21 | $281.84 | $501.19 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $363.08 Typical High $537.03 | Facility | None | $208.93 | $363.08 | $537.03 |
Medica Setting Professional Modifier None Typical Low $275.42 Median $436.52 Typical High $1,737.80 | Professional | None | $275.42 | $436.52 | $1,737.80 |
Midlands Setting Professional Modifier None Typical Low $309.03 Median $371.54 Typical High $489.78 | Professional | None | $309.03 | $371.54 | $489.78 |
Midlands Setting Professional Modifier None Typical Low $371.54 Median $501.19 Typical High $630.96 | Professional | None | $371.54 | $501.19 | $630.96 |
Oscar Health Setting Professional Modifier None Typical Low $181.97 Median $331.13 Typical High $616.60 | Professional | None | $181.97 | $331.13 | $616.60 |
United Setting Facility Modifier None Typical Low $151.36 Median $257.04 Typical High $323.59 | Facility | None | $151.36 | $257.04 | $323.59 |
United Setting Professional Modifier None Typical Low $190.55 Median $275.42 Typical High $467.74 | Professional | None | $190.55 | $275.42 | $467.74 |
Wellmark Setting Professional Modifier None Typical Low $234.42 Median $239.88 Typical High $407.38 | Professional | None | $234.42 | $239.88 | $407.38 |
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 $85.11 Median $97.72 Typical High $120.23 | Professional | 52 · Reduced service | $85.11 | $97.72 | $120.23 |
Where Iowa sits
The same service costs 2.7 times more in Alaska than in Alabama. 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
$324
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.