How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $602.56 Median $2,951.21 Typical High $6,760.83 | Facility | None | $602.56 | $2,951.21 | $6,760.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $354.81 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $79.43 | $128.82 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $436.52 Typical High $436.52 | Professional | TC · Technical part | $275.42 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $891.25 Typical High $1,174.90 | Professional | None (both parts) | $660.69 | $891.25 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $181.97 Typical High $245.47 | Professional | 26 · Professional part | $162.18 | $181.97 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $676.08 Typical High $912.01 | Professional | TC · Technical part | $489.78 | $676.08 | $912.01 |
Hally Health Setting Professional Modifier None Typical Low $338.84 Median $389.05 Typical High $1,047.13 | Professional | None | $338.84 | $389.05 | $1,047.13 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $134.90 Typical High $245.47 | Professional | 26 · Professional part | $85.11 | $134.90 | $245.47 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $281.84 Typical High $660.69 | Professional | TC · Technical part | $229.09 | $281.84 | $660.69 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $691.83 Typical High $1,905.46 | Facility | None | $331.13 | $691.83 | $1,905.46 |
Medica Setting Professional Modifier None (both parts) Typical Low $288.40 Median $831.76 Typical High $3,162.28 | Professional | None (both parts) | $288.40 | $831.76 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $229.09 Typical High $645.65 | Professional | 26 · Professional part | $102.33 | $229.09 | $645.65 |
Medica Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $630.96 Typical High $2,570.40 | Professional | TC · Technical part | $251.19 | $630.96 | $2,570.40 |
Midlands Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,202.26 | Professional | None | $891.25 | $891.25 | $1,202.26 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $181.97 Typical High $251.19 | Professional | 26 · Professional part | $181.97 | $181.97 | $251.19 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $676.08 Typical High $954.99 | Professional | TC · Technical part | $676.08 | $676.08 | $954.99 |
Midlands Setting Professional Modifier None (both parts) Typical Low $501.19 Median $512.86 Typical High $1,174.90 | Professional | None (both parts) | $501.19 | $512.86 | $1,174.90 |
United Setting Facility Modifier None Typical Low $389.05 Median $794.33 Typical High $2,344.23 | Facility | None | $389.05 | $794.33 | $2,344.23 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $549.54 Typical High $1,148.15 | Professional | None (both parts) | $323.59 | $549.54 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $141.25 Typical High $281.84 | Professional | 26 · Professional part | $95.50 | $141.25 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $416.87 Typical High $870.96 | Professional | TC · Technical part | $204.17 | $416.87 | $870.96 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $933.25 | Professional | None (both parts) | $776.25 | $776.25 | $933.25 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $186.21 Typical High $218.78 | Professional | 26 · Professional part | $186.21 | $186.21 | $218.78 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $602.56 Typical High $707.95 | Professional | TC · Technical part | $602.56 | $602.56 | $707.95 |
2 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 52 · Reduced service Typical Low $177.83 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $177.83 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $70.79 | $112.20 | $112.20 |
Where Iowa sits
The same service costs 6.5 times more in Alaska than in Kentucky. 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· 4th of 51
$776
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.