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 $354.81 Median $954.99 Typical High $1,258.93 | Facility | None | $354.81 | $954.99 | $1,258.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $537.03 | Professional | None (both parts) | $354.81 | $354.81 | $537.03 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | TC · Technical part | $537.03 | $537.03 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $588.84 Typical High $1,071.52 | Professional | None (both parts) | $549.54 | $588.84 | $1,071.52 |
Hally Health Setting Professional Modifier None Typical Low $380.19 Median $588.84 Typical High $812.83 | Professional | None | $380.19 | $588.84 | $812.83 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $794.33 Typical High $1,148.15 | Facility | None | $446.68 | $794.33 | $1,148.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $269.15 Median $537.03 Typical High $2,238.72 | Professional | None (both parts) | $269.15 | $537.03 | $2,238.72 |
Medica Setting Professional Modifier TC · Technical part Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $2,818.38 | $2,818.38 | $2,818.38 |
Midlands Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Midlands Setting Facility Modifier TC · Technical part Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | TC · Technical part | $537.03 | $537.03 | $537.03 |
Midlands Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $588.84 | $588.84 | $588.84 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $446.68 Median $489.78 Typical High $954.99 | Professional | None (both parts) | $446.68 | $489.78 | $954.99 |
United Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $1,148.15 | Facility | None | $446.68 | $446.68 | $1,148.15 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $933.25 | Professional | None (both parts) | $269.15 | $269.15 | $933.25 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $446.68 | $446.68 | $446.68 |
3 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 Professional Modifier 26 · Professional part Typical Low $302.00 Median $354.81 Typical High $436.52 | Professional | 26 · Professional part | $302.00 | $354.81 | $436.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $177.83 Typical High $269.15 | Professional | 52 · Reduced service | $177.83 | $177.83 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $107.15 | Professional | 53 · Discontinued | $70.79 | $70.79 | $107.15 |
Where Iowa sits
The same service costs 8.3 times more in Texas 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· 14th of 51
$501
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.