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 $66.07 Median $66.07 Typical High $72.44 | Facility | None | $66.07 | $66.07 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $72.44 Typical High $102.33 | Professional | None | $64.57 | $72.44 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $131.83 Typical High $162.18 | Professional | None | $120.23 | $131.83 | $162.18 |
Hally Health Setting Professional Modifier None Typical Low $70.79 Median $100.00 Typical High $194.98 | Professional | None | $70.79 | $100.00 | $194.98 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $154.88 Typical High $245.47 | Facility | None | $117.49 | $154.88 | $245.47 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $147.91 Typical High $524.81 | Professional | None | $95.50 | $147.91 | $524.81 |
Midlands Setting Professional Modifier None Typical Low $112.20 Median $131.83 Typical High $158.49 | Professional | None | $112.20 | $131.83 | $158.49 |
Midlands Setting Professional Modifier None Typical Low $144.54 Median $158.49 Typical High $204.17 | Professional | None | $144.54 | $158.49 | $204.17 |
Oscar Health Setting Professional Modifier None Typical Low $70.79 Median $128.82 Typical High $186.21 | Professional | None | $70.79 | $128.82 | $186.21 |
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 $77.62 Median $97.72 Typical High $173.78 | Professional | None | $77.62 | $97.72 | $173.78 |
Wellmark Setting Professional Modifier None Typical Low $89.13 Median $91.20 Typical High $120.23 | Professional | None | $89.13 | $91.20 | $120.23 |
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 $33.11 Median $34.67 Typical High $36.31 | Professional | 52 · Reduced service | $33.11 | $34.67 | $36.31 |
Where Iowa sits
The same service costs 2.8 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· 9th of 51
$120
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.