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 $4.68 Median $5.62 Typical High $57.54 | Facility | None | $4.68 | $5.62 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $15.14 Typical High $77.62 | Professional | None | $5.37 | $15.14 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $53.70 Typical High $100.00 | Professional | None | $7.94 | $53.70 | $100.00 |
Hally Health Setting Professional Modifier None Typical Low $5.37 Median $63.10 Typical High $173.78 | Professional | None | $5.37 | $63.10 | $173.78 |
Medica Setting Facility Modifier None Typical Low $9.12 Median $69.18 Typical High $204.17 | Facility | None | $9.12 | $69.18 | $204.17 |
Medica Setting Professional Modifier None Typical Low $8.32 Median $95.50 Typical High $363.08 | Professional | None | $8.32 | $95.50 | $363.08 |
Midlands Setting Professional Modifier None Typical Low $7.94 Median $89.13 Typical High $100.00 | Professional | None | $7.94 | $89.13 | $100.00 |
Midlands Setting Professional Modifier None Typical Low $9.33 Median $97.72 Typical High $165.96 | Professional | None | $9.33 | $97.72 | $165.96 |
Oscar Health Setting Professional Modifier None Typical Low $6.31 Median $15.49 Typical High $141.25 | Professional | None | $6.31 | $15.49 | $141.25 |
United Setting Professional Modifier None Typical Low $6.61 Median $48.98 Typical High $131.83 | Professional | None | $6.61 | $48.98 | $131.83 |
Wellmark Setting Professional Modifier None Typical Low $8.32 Median $10.23 Typical High $120.23 | Professional | None | $8.32 | $10.23 | $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 53 · Discontinued Typical Low $1.10 Median $7.24 Typical High $11.48 | Professional | 53 · Discontinued | $1.10 | $7.24 | $11.48 |
Where Iowa sits
The same service costs 7.6 times more in Washington than in Michigan. 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· 5th of 51
$66.07
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.