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 $489.78 Median $1,318.26 Typical High $1,778.28 | Facility | None | $489.78 | $1,318.26 | $1,778.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $489.78 Typical High $758.58 | Professional | None (both parts) | $489.78 | $489.78 | $758.58 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | TC · Technical part | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $831.76 Typical High $1,513.56 | Professional | None (both parts) | $776.25 | $831.76 | $1,513.56 |
Hally Health Setting Professional Modifier None Typical Low $537.03 Median $831.76 Typical High $1,122.02 | Professional | None | $537.03 | $831.76 | $1,122.02 |
Medica Setting Facility Modifier None Typical Low $630.96 Median $1,122.02 Typical High $1,737.80 | Facility | None | $630.96 | $1,122.02 | $1,737.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $380.19 Median $758.58 Typical High $3,162.28 | Professional | None (both parts) | $380.19 | $758.58 | $3,162.28 |
Medica Setting Professional Modifier TC · Technical part Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | TC · Technical part | $3,235.94 | $3,235.94 | $3,235.94 |
Midlands Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Midlands Setting Facility Modifier TC · Technical part Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | TC · Technical part | $758.58 | $758.58 | $758.58 |
Midlands Setting Professional Modifier None (both parts) Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None (both parts) | $831.76 | $831.76 | $831.76 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $691.83 Typical High $1,348.96 | Professional | None (both parts) | $630.96 | $691.83 | $1,348.96 |
United Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $1,621.81 | Facility | None | $630.96 | $630.96 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $1,288.25 | Professional | None (both parts) | $380.19 | $380.19 | $1,288.25 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $630.96 | $630.96 | $630.96 |
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 $426.58 Median $489.78 Typical High $616.60 | Professional | 26 · Professional part | $426.58 | $489.78 | $616.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $245.47 Median $245.47 Typical High $380.19 | Professional | 52 · Reduced service | $245.47 | $245.47 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $151.36 | Professional | 53 · Discontinued | $100.00 | $100.00 | $151.36 |
Where Iowa sits
The same service costs 11.7 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
$692
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.