How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $2,089.30 Median $5,623.41 Typical High $7,413.10 | Facility | None | $2,089.30 | $5,623.41 | $7,413.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,089.30 Typical High $3,162.28 | Professional | None (both parts) | $2,089.30 | $2,089.30 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $3,235.94 Typical High $6,309.57 | Professional | None (both parts) | $3,019.95 | $3,235.94 | $6,309.57 |
Hally Health Setting Professional Modifier None Typical Low $2,238.72 Median $3,467.37 Typical High $4,677.35 | Professional | None | $2,238.72 | $3,467.37 | $4,677.35 |
Medica Setting Facility Modifier None Typical Low $2,630.27 Median $3,467.37 Typical High $7,244.36 | Facility | None | $2,630.27 | $3,467.37 | $7,244.36 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $2,754.23 Typical High $13,182.57 | Professional | None (both parts) | $1,584.89 | $2,754.23 | $13,182.57 |
Midlands Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $5,754.40 | Professional | None | $3,235.94 | $3,235.94 | $5,754.40 |
Midlands Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
Midlands Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None (both parts) | $3,467.37 | $3,467.37 | $3,467.37 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $2,630.27 Median $2,884.03 Typical High $5,623.41 | Professional | None (both parts) | $2,630.27 | $2,884.03 | $5,623.41 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $6,760.83 | Facility | None | $2,630.27 | $2,630.27 | $6,760.83 |
United Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,584.89 Typical High $5,370.32 | Professional | None (both parts) | $1,584.89 | $1,584.89 | $5,370.32 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None (both parts) | $2,630.27 | $2,630.27 | $2,630.27 |
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 52 · Reduced service Typical Low $1,023.29 Median $1,023.29 Typical High $1,584.89 | Professional | 52 · Reduced service | $1,023.29 | $1,023.29 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $416.87 Median $416.87 Typical High $630.96 | Professional | 53 · Discontinued | $416.87 | $416.87 | $630.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $13,489.63 Median $13,489.63 Typical High $13,489.63 | Professional | TC · Technical part | $13,489.63 | $13,489.63 | $13,489.63 |
Where Iowa sits
The same service costs 31.6 times more in Texas 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
$2,754
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.