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 $204.17 Median $549.54 Typical High $741.31 | Facility | None | $204.17 | $549.54 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $309.03 | Professional | None (both parts) | $204.17 | $204.17 | $309.03 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | TC · Technical part | $309.03 | $309.03 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $346.74 Typical High $630.96 | Professional | None (both parts) | $323.59 | $346.74 | $630.96 |
Hally Health Setting Professional Modifier None Typical Low $223.87 Median $338.84 Typical High $457.09 | Professional | None | $223.87 | $338.84 | $457.09 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $457.09 Typical High $660.69 | Facility | None | $316.23 | $457.09 | $660.69 |
Medica Setting Professional Modifier None (both parts) Typical Low $154.88 Median $309.03 Typical High $1,288.25 | Professional | None (both parts) | $154.88 | $309.03 | $1,288.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | TC · Technical part | $1,318.26 | $1,318.26 | $1,318.26 |
Midlands Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Midlands Setting Facility Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | TC · Technical part | $309.03 | $309.03 | $309.03 |
Midlands Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $281.84 Typical High $549.54 | Professional | None (both parts) | $263.03 | $281.84 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $537.03 | Professional | None (both parts) | $154.88 | $154.88 | $537.03 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
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 $173.78 Median $204.17 Typical High $251.19 | Professional | 26 · Professional part | $173.78 | $204.17 | $251.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $102.33 Typical High $154.88 | Professional | 52 · Reduced service | $102.33 | $102.33 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $63.10 | Professional | 53 · Discontinued | $40.74 | $40.74 | $63.10 |
Where Iowa sits
The same service costs 5.4 times more in Alaska 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
$282
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.