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 $1,659.59 Median $4,466.84 Typical High $6,025.60 | Facility | None | $1,659.59 | $4,466.84 | $6,025.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None (both parts) | $1,659.59 | $1,659.59 | $1,659.59 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | TC · Technical part | $2,570.40 | $2,570.40 | $2,570.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,630.27 Median $2,818.38 Typical High $5,128.61 | Professional | None (both parts) | $2,630.27 | $2,818.38 | $5,128.61 |
Hally Health Setting Professional Modifier None Typical Low $1,819.70 Median $2,754.23 Typical High $3,715.35 | Professional | None | $1,819.70 | $2,754.23 | $3,715.35 |
Medica Setting Facility Modifier None Typical Low $2,570.40 Median $3,715.35 Typical High $5,888.44 | Facility | None | $2,570.40 | $3,715.35 | $5,888.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $2,570.40 Typical High $10,471.29 | Professional | None (both parts) | $1,288.25 | $2,570.40 | $10,471.29 |
Medica Setting Professional Modifier TC · Technical part Typical Low $10,964.78 Median $10,964.78 Typical High $10,964.78 | Professional | TC · Technical part | $10,964.78 | $10,964.78 | $10,964.78 |
Midlands Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,630.27 | $2,630.27 | $2,630.27 |
Midlands Setting Facility Modifier TC · Technical part Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | TC · Technical part | $2,570.40 | $2,570.40 | $2,570.40 |
Midlands Setting Professional Modifier None (both parts) Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None (both parts) | $2,818.38 | $2,818.38 | $2,818.38 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,290.87 Typical High $4,570.88 | Professional | None (both parts) | $2,137.96 | $2,290.87 | $4,570.88 |
United Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $4,365.16 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $4,365.16 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | None (both parts) | $2,137.96 | $2,137.96 | $2,137.96 |
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 $1,412.54 Median $1,659.59 Typical High $2,041.74 | Professional | 26 · Professional part | $1,412.54 | $1,659.59 | $2,041.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $831.76 Median $831.76 Typical High $1,288.25 | Professional | 52 · Reduced service | $831.76 | $831.76 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $331.13 Median $331.13 Typical High $512.86 | Professional | 53 · Discontinued | $331.13 | $331.13 | $512.86 |
Where Iowa sits
The same service costs 229.1 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
$2,291
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.