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 $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $63.10 Typical High $81.28 | Professional | None | $60.26 | $63.10 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $114.82 Typical High $144.54 | Professional | None | $112.20 | $114.82 | $144.54 |
Hally Health Setting Professional Modifier None Typical Low $63.10 Median $89.13 Typical High $208.93 | Professional | None | $63.10 | $89.13 | $208.93 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $134.90 Typical High $144.54 | Facility | None | $102.33 | $134.90 | $144.54 |
Medica Setting Professional Modifier None Typical Low $81.28 Median $131.83 Typical High $457.09 | Professional | None | $81.28 | $131.83 | $457.09 |
Midlands Setting Professional Modifier None Typical Low $97.72 Median $112.20 Typical High $141.25 | Professional | None | $97.72 | $112.20 | $141.25 |
Midlands Setting Professional Modifier None Typical Low $138.04 Median $144.54 Typical High $194.98 | Professional | None | $138.04 | $144.54 | $194.98 |
Oscar Health Setting Professional Modifier None Typical Low $67.61 Median $123.03 Typical High $169.82 | Professional | None | $67.61 | $123.03 | $169.82 |
United Setting Professional Modifier None Typical Low $69.18 Median $87.10 Typical High $154.88 | Professional | None | $69.18 | $87.10 | $154.88 |
Wellmark Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $107.15 | Professional | None | $87.10 | $87.10 | $107.15 |
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 $30.20 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $30.20 | $31.62 | $31.62 |
Where Iowa sits
The same service costs 3.0 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
$107
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.