How much rates vary
Facilitymedian $4,266 · 10th to 90th $2,455 to $6,607Professionalmedian $2,455 · 10th to 90th $1,479 to $9,550
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 $1,905.46 Median $5,128.61 Typical High $6,918.31 | Facility | None | $1,905.46 | $5,128.61 | $6,918.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $1,905.46 Typical High $2,951.21 | Professional | None (both parts) | $1,905.46 | $1,905.46 | $2,951.21 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | TC · Technical part | $2,951.21 | $2,951.21 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $3,235.94 Typical High $5,888.44 | Professional | None (both parts) | $3,019.95 | $3,235.94 | $5,888.44 |
Hally Health Setting Professional Modifier None Typical Low $2,089.30 Median $3,162.28 Typical High $4,265.80 | Professional | None | $2,089.30 | $3,162.28 | $4,265.80 |
Medica Setting Facility Modifier None Typical Low $2,454.71 Median $4,265.80 Typical High $6,309.57 | Facility | None | $2,454.71 | $4,265.80 | $6,309.57 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $2,951.21 Typical High $12,302.69 | Professional | None (both parts) | $1,479.11 | $2,951.21 | $12,302.69 |
Medica Setting Professional Modifier TC · Technical part Typical Low $12,589.25 Median $12,589.25 Typical High $12,589.25 | Professional | TC · Technical part | $12,589.25 | $12,589.25 | $12,589.25 |
Midlands Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | None | $3,019.95 | $3,019.95 | $3,019.95 |
Midlands Setting Facility Modifier TC · Technical part Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | TC · Technical part | $2,951.21 | $2,951.21 | $2,951.21 |
Midlands Setting Professional Modifier None (both parts) Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None (both parts) | $3,235.94 | $3,235.94 | $3,235.94 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $2,630.27 Typical High $5,248.07 | Professional | None (both parts) | $2,454.71 | $2,630.27 | $5,248.07 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $6,309.57 | Facility | None | $2,454.71 | $2,454.71 | $6,309.57 |
United Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,479.11 Typical High $5,011.87 | Professional | None (both parts) | $1,479.11 | $1,479.11 | $5,011.87 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None (both parts) | $2,454.71 | $2,454.71 | $2,454.71 |
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 $1,621.81 Median $1,905.46 Typical High $2,398.83 | Professional | 26 · Professional part | $1,621.81 | $1,905.46 | $2,398.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $954.99 Median $954.99 Typical High $1,479.11 | Professional | 52 · Reduced service | $954.99 | $954.99 | $1,479.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $380.19 Typical High $588.84 | Professional | 53 · Discontinued | $380.19 | $380.19 | $588.84 |
Where Iowa sits
The same service costs 8.9 times more in Alaska than in Ohio. 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
$2,630
AK $5,495OH $617
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.