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 Professional Modifier None Typical Low $6.76 Median $11.75 Typical High $13.18 | Professional | None | $6.76 | $11.75 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $12.88 Typical High $14.79 | Professional | None | $11.48 | $12.88 | $14.79 |
Hally Health Setting Professional Modifier None Typical Low $12.30 Median $18.20 Typical High $25.70 | Professional | None | $12.30 | $18.20 | $25.70 |
Medica Setting Facility Modifier None Typical Low $7.59 Median $13.18 Typical High $29.51 | Facility | None | $7.59 | $13.18 | $29.51 |
Medica Setting Professional Modifier None Typical Low $3.02 Median $6.92 Typical High $13.18 | Professional | None | $3.02 | $6.92 | $13.18 |
Midlands Setting Professional Modifier None Typical Low $7.24 Median $12.88 Typical High $20.42 | Professional | None | $7.24 | $12.88 | $20.42 |
United Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $28.84 | Facility | None | $11.22 | $11.22 | $28.84 |
United Setting Professional Modifier None Typical Low $3.02 Median $3.16 Typical High $11.22 | Professional | None | $3.02 | $3.16 | $11.22 |
Wellmark Setting Professional Modifier None Typical Low $8.91 Median $11.22 Typical High $11.22 | Professional | None | $8.91 | $11.22 | $11.22 |
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 Facility Modifier 53 · Discontinued Typical Low $1.74 Median $1.74 Typical High $1.74 | Facility | 53 · Discontinued | $1.74 | $1.74 | $1.74 |
Where Iowa sits
The same service costs 5.2 times more in Montana than in West Virginia. 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
$10.96
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.