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 $0.09 Median $0.09 Typical High $0.09 | Facility | None | $0.09 | $0.09 | $0.09 |
Aetna Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.09 | Professional | None | $0.08 | $0.08 | $0.09 |
Cigna Setting Professional Modifier None Typical Low $0.07 Median $1.00 Typical High $1.00 | Professional | None | $0.07 | $1.00 | $1.00 |
Hally Health Setting Professional Modifier None Typical Low $0.52 Median $5.13 Typical High $9.12 | Professional | None | $0.52 | $5.13 | $9.12 |
Medica Setting Facility Modifier None Typical Low $0.06 Median $0.81 Typical High $1.51 | Facility | None | $0.06 | $0.81 | $1.51 |
Medica Setting Professional Modifier None Typical Low $0.08 Median $0.83 Typical High $64.57 | Professional | None | $0.08 | $0.83 | $64.57 |
Midlands Setting Professional Modifier None Typical Low $0.07 Median $1.00 Typical High $1.26 | Professional | None | $0.07 | $1.00 | $1.26 |
Midlands Setting Professional Modifier None Typical Low $0.06 Median $0.07 Typical High $1.66 | Professional | None | $0.06 | $0.07 | $1.66 |
Oscar Health Setting Professional Modifier None Typical Low $6.46 Median $7.76 Typical High $9.33 | Professional | None | $6.46 | $7.76 | $9.33 |
United Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | None | $0.08 | $0.08 | $0.08 |
Wellmark Setting Facility Modifier None Typical Low $0.06 Median $0.06 Typical High $0.06 | Facility | None | $0.06 | $0.06 | $0.06 |
Wellmark Setting Professional Modifier None Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | None | $0.06 | $0.06 | $0.06 |
4 more rates 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 52 · Reduced service Typical Low $0.05 Median $0.05 Typical High $0.05 | Facility | 52 · Reduced service | $0.05 | $0.05 | $0.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.02 Median $0.02 Typical High $0.02 | Facility | 53 · Discontinued | $0.02 | $0.02 | $0.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.04 Median $0.04 Typical High $0.05 | Professional | 52 · Reduced service | $0.04 | $0.04 | $0.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 53 · Discontinued | $0.02 | $0.02 | $0.02 |
Where Iowa sits
The same service costs 14.8 times more in Montana than in Hawaii. 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· 43rd of 51
$0.08
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.