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 $478.63 Median $1,288.25 Typical High $1,698.24 | Facility | None | $478.63 | $1,288.25 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $478.63 | $478.63 | $478.63 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | TC · Technical part | $724.44 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $794.33 Typical High $1,445.44 | Professional | None (both parts) | $741.31 | $794.33 | $1,445.44 |
Hally Health Setting Professional Modifier None Typical Low $512.86 Median $794.33 Typical High $1,071.52 | Professional | None | $512.86 | $794.33 | $1,071.52 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $1,071.52 Typical High $1,548.82 | Facility | None | $602.56 | $1,071.52 | $1,548.82 |
Medica Setting Professional Modifier None (both parts) Typical Low $363.08 Median $724.44 Typical High $3,019.95 | Professional | None (both parts) | $363.08 | $724.44 | $3,019.95 |
Medica Setting Professional Modifier TC · Technical part Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | TC · Technical part | $3,090.30 | $3,090.30 | $3,090.30 |
Midlands Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Midlands Setting Facility Modifier TC · Technical part Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | TC · Technical part | $724.44 | $724.44 | $724.44 |
Midlands Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None (both parts) | $794.33 | $794.33 | $794.33 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $602.56 Median $660.69 Typical High $1,288.25 | Professional | None (both parts) | $602.56 | $660.69 | $1,288.25 |
United Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $1,548.82 | Facility | None | $602.56 | $602.56 | $1,548.82 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $1,258.93 | Professional | None (both parts) | $363.08 | $363.08 | $1,258.93 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $602.56 | $602.56 | $602.56 |
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 $407.38 Median $478.63 Typical High $588.84 | Professional | 26 · Professional part | $407.38 | $478.63 | $588.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $239.88 Typical High $363.08 | Professional | 52 · Reduced service | $239.88 | $239.88 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $144.54 | Professional | 53 · Discontinued | $95.50 | $95.50 | $144.54 |
Where Iowa sits
The same service costs 47.9 times more in Texas 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
$661
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.