How much rates vary
Facilitymedian $6,310 · 10th to 90th $3,631 to $10,000Professionalmedian $3,631 · 10th to 90th $2,138 to $14,125
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 $2,818.38 Median $7,585.78 Typical High $10,232.93 | Facility | None | $2,818.38 | $7,585.78 | $10,232.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,818.38 Median $2,818.38 Typical High $4,365.16 | Professional | None (both parts) | $2,818.38 | $2,818.38 | $4,365.16 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Facility | TC · Technical part | $4,365.16 | $4,365.16 | $4,365.16 |
Cigna Setting Professional Modifier None (both parts) Typical Low $4,466.84 Median $4,786.30 Typical High $8,709.64 | Professional | None (both parts) | $4,466.84 | $4,786.30 | $8,709.64 |
Hally Health Setting Professional Modifier None Typical Low $3,090.30 Median $4,677.35 Typical High $6,309.57 | Professional | None | $3,090.30 | $4,677.35 | $6,309.57 |
Medica Setting Facility Modifier None Typical Low $3,630.78 Median $6,309.57 Typical High $10,000.00 | Facility | None | $3,630.78 | $6,309.57 | $10,000.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $4,365.16 Typical High $17,782.79 | Professional | None (both parts) | $2,137.96 | $4,365.16 | $17,782.79 |
Medica Setting Professional Modifier TC · Technical part Typical Low $18,620.87 Median $18,620.87 Typical High $18,620.87 | Professional | TC · Technical part | $18,620.87 | $18,620.87 | $18,620.87 |
Midlands Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,466.84 | $4,466.84 | $4,466.84 |
Midlands Setting Facility Modifier TC · Technical part Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Facility | TC · Technical part | $4,365.16 | $4,365.16 | $4,365.16 |
Midlands Setting Professional Modifier None (both parts) Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | None (both parts) | $4,786.30 | $4,786.30 | $4,786.30 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $3,630.78 Median $3,890.45 Typical High $7,585.78 | Professional | None (both parts) | $3,630.78 | $3,890.45 | $7,585.78 |
United Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $9,120.11 | Facility | None | $3,630.78 | $3,630.78 | $9,120.11 |
United Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,137.96 Typical High $7,413.10 | Professional | None (both parts) | $2,137.96 | $2,137.96 | $7,413.10 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None (both parts) | $3,630.78 | $3,630.78 | $3,630.78 |
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 $2,398.83 Median $2,818.38 Typical High $3,467.37 | Professional | 26 · Professional part | $2,398.83 | $2,818.38 | $3,467.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,412.54 Median $1,412.54 Typical High $2,137.96 | Professional | 52 · Reduced service | $1,412.54 | $1,412.54 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $562.34 Median $562.34 Typical High $870.96 | Professional | 53 · Discontinued | $562.34 | $562.34 | $870.96 |
Where Iowa sits
The same service costs 8.9 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
$3,890
TX $13,490NM $1,514
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.