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 $588.84 Median $1,584.89 Typical High $2,137.96 | Facility | None | $588.84 | $1,584.89 | $2,137.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $912.01 | Professional | None (both parts) | $588.84 | $588.84 | $912.01 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | TC · Technical part | $912.01 | $912.01 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,000.00 Typical High $1,819.70 | Professional | None (both parts) | $933.25 | $1,000.00 | $1,819.70 |
Hally Health Setting Professional Modifier None Typical Low $645.65 Median $977.24 Typical High $1,318.26 | Professional | None | $645.65 | $977.24 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $912.01 Median $1,318.26 Typical High $2,344.23 | Facility | None | $912.01 | $1,318.26 | $2,344.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $457.09 Median $912.01 Typical High $3,801.89 | Professional | None (both parts) | $457.09 | $912.01 | $3,801.89 |
Medica Setting Professional Modifier TC · Technical part Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | TC · Technical part | $3,890.45 | $3,890.45 | $3,890.45 |
Midlands Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Midlands Setting Facility Modifier TC · Technical part Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | TC · Technical part | $912.01 | $912.01 | $912.01 |
Midlands Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,000.00 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $831.76 Typical High $1,621.81 | Professional | None (both parts) | $758.58 | $831.76 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $1,548.82 | Professional | None (both parts) | $457.09 | $457.09 | $1,548.82 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $758.58 | $758.58 | $758.58 |
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 $512.86 Median $588.84 Typical High $741.31 | Professional | 26 · Professional part | $512.86 | $588.84 | $741.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $295.12 Median $295.12 Typical High $457.09 | Professional | 52 · Reduced service | $295.12 | $295.12 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $181.97 | Professional | 53 · Discontinued | $117.49 | $117.49 | $181.97 |
Where Iowa sits
The same service costs 12.0 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
$832
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.