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 $60.26 Median $60.26 Typical High $64.57 | Facility | None | $60.26 | $60.26 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $60.26 Typical High $64.57 | Professional | None | $54.95 | $60.26 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $85.11 Typical High $112.20 | Professional | None | $69.18 | $85.11 | $112.20 |
Hally Health Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $114.82 | Professional | None | $48.98 | $57.54 | $114.82 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $97.72 Typical High $147.91 | Facility | None | $64.57 | $97.72 | $147.91 |
Medica Setting Professional Modifier None Typical Low $69.18 Median $109.65 Typical High $407.38 | Professional | None | $69.18 | $109.65 | $407.38 |
Midlands Setting Professional Modifier None Typical Low $75.86 Median $97.72 Typical High $125.89 | Professional | None | $75.86 | $97.72 | $125.89 |
Midlands Setting Professional Modifier None Typical Low $114.82 Median $125.89 Typical High $162.18 | Professional | None | $114.82 | $125.89 | $162.18 |
Oscar Health Setting Professional Modifier None Typical Low $53.70 Median $102.33 Typical High $141.25 | Professional | None | $53.70 | $102.33 | $141.25 |
United Setting Professional Modifier None Typical Low $58.88 Median $74.13 Typical High $131.83 | Professional | None | $58.88 | $74.13 | $131.83 |
Wellmark Setting Professional Modifier None Typical Low $79.43 Median $93.33 Typical High $117.49 | Professional | None | $79.43 | $93.33 | $117.49 |
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 $27.54 Median $30.20 Typical High $32.36 | Professional | 52 · Reduced service | $27.54 | $30.20 | $32.36 |
Where Iowa sits
The same service costs 2.8 times more in Alaska than in Alabama. 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
$93.33
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.