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 $1,995.26 Median $5,370.32 Typical High $7,244.36 | Facility | None | $1,995.26 | $5,370.32 | $7,244.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None (both parts) | $1,995.26 | $1,995.26 | $1,995.26 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | TC · Technical part | $3,090.30 | $3,090.30 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $3,388.44 Typical High $6,165.95 | Professional | None (both parts) | $3,162.28 | $3,388.44 | $6,165.95 |
Hally Health Setting Professional Modifier None Typical Low $2,187.76 Median $3,311.31 Typical High $4,466.84 | Professional | None | $2,187.76 | $3,311.31 | $4,466.84 |
Medica Setting Facility Modifier None Typical Low $3,090.30 Median $4,466.84 Typical High $8,128.31 | Facility | None | $3,090.30 | $4,466.84 | $8,128.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $3,090.30 Typical High $12,882.50 | Professional | None (both parts) | $1,548.82 | $3,090.30 | $12,882.50 |
Medica Setting Professional Modifier TC · Technical part Typical Low $13,182.57 Median $13,182.57 Typical High $13,182.57 | Professional | TC · Technical part | $13,182.57 | $13,182.57 | $13,182.57 |
Midlands Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
Midlands Setting Facility Modifier TC · Technical part Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | TC · Technical part | $3,090.30 | $3,090.30 | $3,090.30 |
Midlands Setting Professional Modifier None (both parts) Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | None (both parts) | $3,388.44 | $3,388.44 | $3,388.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $2,570.40 Median $2,754.23 Typical High $5,495.41 | Professional | None (both parts) | $2,570.40 | $2,754.23 | $5,495.41 |
United Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,548.82 Typical High $5,248.07 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $5,248.07 |
Wellmark 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 |
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 $1,737.80 Median $1,995.26 Typical High $2,511.89 | Professional | 26 · Professional part | $1,737.80 | $1,995.26 | $2,511.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,000.00 Median $1,000.00 Typical High $1,548.82 | Professional | 52 · Reduced service | $1,000.00 | $1,000.00 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $398.11 Typical High $616.60 | Professional | 53 · Discontinued | $398.11 | $398.11 | $616.60 |
Where Iowa sits
The same service costs 204.2 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
$2,754
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.