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 $9.55 Median $9.55 Typical High $18.62 | Facility | None | $9.55 | $9.55 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $15.49 Typical High $20.42 | Professional | None | $8.91 | $15.49 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $21.38 Typical High $28.18 | Professional | None | $12.02 | $21.38 | $28.18 |
Hally Health Setting Professional Modifier None Typical Low $7.41 Median $15.85 Typical High $44.67 | Professional | None | $7.41 | $15.85 | $44.67 |
Medica Setting Facility Modifier None Typical Low $16.60 Median $23.44 Typical High $74.13 | Facility | None | $16.60 | $23.44 | $74.13 |
Medica Setting Professional Modifier None Typical Low $13.18 Median $31.62 Typical High $117.49 | Professional | None | $13.18 | $31.62 | $117.49 |
Midlands Setting Professional Modifier None Typical Low $12.02 Median $28.18 Typical High $28.18 | Professional | None | $12.02 | $28.18 | $28.18 |
Midlands Setting Professional Modifier None Typical Low $17.38 Median $34.67 Typical High $44.67 | Professional | None | $17.38 | $34.67 | $44.67 |
Oscar Health Setting Professional Modifier None Typical Low $8.51 Median $19.05 Typical High $40.74 | Professional | None | $8.51 | $19.05 | $40.74 |
United Setting Facility Modifier None Typical Low $56.23 Median $93.33 Typical High $117.49 | Facility | None | $56.23 | $93.33 | $117.49 |
United Setting Professional Modifier None Typical Low $10.23 Median $20.42 Typical High $40.74 | Professional | None | $10.23 | $20.42 | $40.74 |
Wellmark Setting Professional Modifier None Typical Low $10.96 Median $25.70 Typical High $25.70 | Professional | None | $10.96 | $25.70 | $25.70 |
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 $4.57 Median $5.62 Typical High $9.12 | Professional | 52 · Reduced service | $4.57 | $5.62 | $9.12 |
Where Iowa sits
The same service costs 2.3 times more in Alaska than in Louisiana. 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· 4th of 51
$21.88
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.