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 |
|---|---|---|---|---|---|
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $891.25 Typical High $1,621.81 | Professional | None (both parts) | $831.76 | $891.25 | $1,621.81 |
Hally Health Setting Professional Modifier None Typical Low $575.44 Median $891.25 Typical High $1,230.27 | Professional | None | $575.44 | $891.25 | $1,230.27 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $1,258.93 Typical High $1,819.70 | Facility | None | $676.08 | $1,258.93 | $1,819.70 |
Medica Setting Professional Modifier None (both parts) Typical Low $407.38 Median $812.83 Typical High $3,388.44 | Professional | None (both parts) | $407.38 | $812.83 | $3,388.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Professional | TC · Technical part | $4,265.80 | $4,265.80 | $4,265.80 |
Midlands Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Midlands Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Midlands Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $891.25 | $891.25 | $891.25 |
United Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $1,737.80 | Facility | None | $676.08 | $676.08 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $1,412.54 | Professional | None (both parts) | $407.38 | $407.38 | $1,412.54 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None (both parts) | $676.08 | $676.08 | $676.08 |
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 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | 53 · Discontinued | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $537.03 Typical High $660.69 | Professional | 26 · Professional part | $457.09 | $537.03 | $660.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $269.15 Typical High $331.13 | Professional | 52 · Reduced service | $229.09 | $269.15 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $107.15 Typical High $131.83 | Professional | 53 · Discontinued | $91.20 | $107.15 | $131.83 |
Where Iowa sits
The same service costs 11.7 times more in Texas than in New Mexico. 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
$813
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.