How much rates vary
Facilitymedian $3,090 · 10th to 90th $1,950 to $5,248Professionalmedian $1,950 · 10th to 90th $1,047 to $7,244
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 $2,187.76 Median $4,677.35 Typical High $5,495.41 | Facility | None | $2,187.76 | $4,677.35 | $5,495.41 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $5,495.41 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $5,495.41 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | TC · Technical part | $2,344.23 | $2,344.23 | $2,344.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,570.40 Typical High $4,677.35 | Professional | None (both parts) | $2,137.96 | $2,570.40 | $4,677.35 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $2,137.96 Typical High $3,548.13 | Professional | None | $151.36 | $2,137.96 | $3,548.13 |
Medica Setting Facility Modifier None Typical Low $1,949.84 Median $3,090.30 Typical High $5,011.87 | Facility | None | $1,949.84 | $3,090.30 | $5,011.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $2,089.30 Typical High $9,772.37 | Professional | None (both parts) | $1,047.13 | $2,089.30 | $9,772.37 |
Medica Setting Professional Modifier TC · Technical part Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Professional | TC · Technical part | $10,000.00 | $10,000.00 | $10,000.00 |
Midlands Setting Professional Modifier None Typical Low $2,137.96 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,137.96 | $2,398.83 | $2,398.83 |
Midlands Setting Facility Modifier TC · Technical part Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | TC · Technical part | $2,344.23 | $2,344.23 | $2,344.23 |
Midlands Setting Professional Modifier None (both parts) Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None (both parts) | $2,570.40 | $2,570.40 | $2,570.40 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $2,089.30 Typical High $4,168.69 | Professional | None (both parts) | $1,949.84 | $2,089.30 | $4,168.69 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $5,011.87 | Facility | None | $1,949.84 | $1,949.84 | $5,011.87 |
United Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,047.13 Typical High $3,630.78 | Professional | None (both parts) | $1,047.13 | $1,047.13 | $3,630.78 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None (both parts) | $1,949.84 | $1,949.84 | $1,949.84 |
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 $1,318.26 Median $1,513.56 Typical High $1,698.24 | Professional | 26 · Professional part | $1,318.26 | $1,513.56 | $1,698.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $758.58 Median $758.58 Typical High $1,174.90 | Professional | 52 · Reduced service | $758.58 | $758.58 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $302.00 Typical High $467.74 | Professional | 53 · Discontinued | $302.00 | $302.00 | $467.74 |
Where Iowa sits
The same service costs 154.9 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
$2,089
TX $9,772AL $63.10
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.