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 $1,047.13 Median $2,818.38 Typical High $3,801.89 | Facility | None | $1,047.13 | $2,818.38 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,047.13 Typical High $1,288.25 | Professional | None (both parts) | $1,047.13 | $1,047.13 | $1,288.25 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | TC · Technical part | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,778.28 Typical High $3,235.94 | Professional | None (both parts) | $1,659.59 | $1,778.28 | $3,235.94 |
Hally Health Setting Professional Modifier None Typical Low $1,148.15 Median $1,737.80 Typical High $2,344.23 | Professional | None | $1,148.15 | $1,737.80 | $2,344.23 |
Medica Setting Facility Modifier None Typical Low $1,621.81 Median $2,344.23 Typical High $3,388.44 | Facility | None | $1,621.81 | $2,344.23 | $3,388.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,621.81 Typical High $6,606.93 | Professional | None (both parts) | $794.33 | $1,621.81 | $6,606.93 |
Medica Setting Professional Modifier TC · Technical part Typical Low $6,760.83 Median $6,760.83 Typical High $6,760.83 | Professional | TC · Technical part | $6,760.83 | $6,760.83 | $6,760.83 |
Midlands Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
Midlands Setting Facility Modifier TC · Technical part Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | TC · Technical part | $1,621.81 | $1,621.81 | $1,621.81 |
Midlands Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None (both parts) | $1,778.28 | $1,778.28 | $1,778.28 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,445.44 Typical High $2,818.38 | Professional | None (both parts) | $1,348.96 | $1,445.44 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $2,754.23 | Professional | None (both parts) | $794.33 | $794.33 | $2,754.23 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $1,348.96 |
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 $891.25 Median $1,047.13 Typical High $1,288.25 | Professional | 26 · Professional part | $891.25 | $1,047.13 | $1,288.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $524.81 Median $524.81 Typical High $794.33 | Professional | 52 · Reduced service | $524.81 | $524.81 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $323.59 | Professional | 53 · Discontinued | $208.93 | $208.93 | $323.59 |
Where Iowa sits
The same service costs 102.3 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· 11th of 51
$1,445
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.