How much rates vary
Facilitymedian $759 · 10th to 90th $302 to $2,138Professionalmedian $229 · 10th to 90th $115 to $501
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 $162.18 Median $162.18 Typical High $302.00 | Facility | None | $162.18 | $162.18 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $213.80 | Professional | None (both parts) | $151.36 | $162.18 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $77.62 Typical High $104.71 | Professional | 26 · Professional part | $70.79 | $77.62 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $134.90 | Professional | TC · Technical part | $85.11 | $85.11 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $501.19 Typical High $630.96 | Professional | None (both parts) | $363.08 | $501.19 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $234.42 Typical High $288.40 | Professional | 26 · Professional part | $158.49 | $234.42 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $269.15 Typical High $338.84 | Professional | TC · Technical part | $162.18 | $269.15 | $338.84 |
Hally Health Setting Professional Modifier None Typical Low $204.17 Median $363.08 Typical High $457.09 | Professional | None | $204.17 | $363.08 | $457.09 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $177.83 Typical High $309.03 | Professional | 26 · Professional part | $100.00 | $177.83 | $309.03 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $177.83 Typical High $263.03 | Professional | TC · Technical part | $102.33 | $177.83 | $263.03 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $630.96 Typical High $1,995.26 | Facility | None | $302.00 | $630.96 | $1,995.26 |
Medica Setting Professional Modifier None (both parts) Typical Low $218.78 Median $398.11 Typical High $1,412.54 | Professional | None (both parts) | $218.78 | $398.11 | $1,412.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $117.49 Typical High $691.83 | Professional | 26 · Professional part | $107.15 | $117.49 | $691.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $181.97 Typical High $912.01 | Professional | TC · Technical part | $102.33 | $181.97 | $912.01 |
Midlands Setting Professional Modifier None Typical Low $263.03 Median $389.05 Typical High $602.56 | Professional | None | $263.03 | $389.05 | $602.56 |
Midlands Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Midlands Setting Professional Modifier None (both parts) Typical Low $398.11 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $398.11 | $446.68 | $446.68 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $218.78 Typical High $446.68 | Professional | None (both parts) | $109.65 | $218.78 | $446.68 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,995.26 Typical High $2,511.89 | Facility | None | $1,202.26 | $1,995.26 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $218.78 Typical High $436.52 | Professional | None (both parts) | $199.53 | $218.78 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $112.20 Typical High $234.42 | Professional | 26 · Professional part | $100.00 | $112.20 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $102.33 Typical High $218.78 | Professional | TC · Technical part | $93.33 | $102.33 | $218.78 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $457.09 Median $501.19 Typical High $537.03 | Professional | None (both parts) | $457.09 | $501.19 | $537.03 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $234.42 Typical High $251.19 | Professional | 26 · Professional part | $218.78 | $234.42 | $251.19 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $269.15 Typical High $288.40 | Professional | TC · Technical part | $234.42 | $269.15 | $288.40 |
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 $81.28 Median $81.28 Typical High $128.82 | Professional | 52 · Reduced service | $81.28 | $81.28 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $51.29 | Professional | 53 · Discontinued | $32.36 | $32.36 | $51.29 |
Where Iowa sits
The same service costs 6.9 times more in Alaska 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· 28th of 51
$229
AK $933AL $135
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.