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 $51.29 Median $102.33 Typical High $186.21 | Facility | None | $51.29 | $102.33 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $134.90 | Professional | None (both parts) | $51.29 | $51.29 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $61.66 Typical High $67.61 | Professional | None (both parts) | $53.70 | $61.66 | $67.61 |
Hally Health Setting Professional Modifier None Typical Low $56.23 Median $89.13 Typical High $151.36 | Professional | None | $56.23 | $89.13 | $151.36 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $69.18 Typical High $134.90 | Facility | None | $51.29 | $69.18 | $134.90 |
Medica Setting Professional Modifier None (both parts) Typical Low $30.90 Median $61.66 Typical High $257.04 | Professional | None (both parts) | $30.90 | $61.66 | $257.04 |
Midlands Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Midlands Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $67.61 | $67.61 | $67.61 |
Oscar Health Setting Facility Modifier None Typical Low $537.03 Median $1,258.93 Typical High $3,548.13 | Facility | None | $537.03 | $1,258.93 | $3,548.13 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $54.95 Typical High $109.65 | Professional | None (both parts) | $51.29 | $54.95 | $109.65 |
United Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $131.83 | Facility | None | $51.29 | $51.29 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $104.71 | Professional | None (both parts) | $30.90 | $30.90 | $104.71 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $51.29 | $51.29 | $51.29 |
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 |
|---|---|---|---|---|---|
Medica Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $323.59 | $323.59 | $323.59 |
Where Iowa sits
The same service costs 3.1 times more in Alaska than in Maine. 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· 10th of 51
$61.66
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.