How much rates vary
Facilitymedian $355 · 10th to 90th $166 to $589Professionalmedian $204 · 10th to 90th $72 to $380
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 $123.03 Median $229.09 Typical High $346.74 | Facility | None | $123.03 | $229.09 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $269.15 | Professional | None (both parts) | $123.03 | $123.03 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $66.07 | Professional | 26 · Professional part | $30.20 | $30.20 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $204.17 | Professional | TC · Technical part | $91.20 | $91.20 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $380.19 Typical High $478.63 | Professional | None (both parts) | $234.42 | $380.19 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $89.13 Typical High $123.03 | Professional | 26 · Professional part | $72.44 | $89.13 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $295.12 Typical High $363.08 | Professional | TC · Technical part | $151.36 | $295.12 | $363.08 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $208.93 Typical High $281.84 | Professional | None | $151.36 | $208.93 | $281.84 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $70.79 Typical High $112.20 | Professional | 26 · Professional part | $38.90 | $70.79 | $112.20 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $144.54 Typical High $204.17 | Professional | TC · Technical part | $93.33 | $144.54 | $204.17 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $354.81 Typical High $588.84 | Facility | None | $165.96 | $354.81 | $588.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $158.49 Median $275.42 Typical High $1,148.15 | Professional | None (both parts) | $158.49 | $275.42 | $1,148.15 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $63.10 Typical High $323.59 | Professional | 26 · Professional part | $44.67 | $63.10 | $323.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $138.04 Typical High $870.96 | Professional | TC · Technical part | $97.72 | $138.04 | $870.96 |
Midlands Setting Professional Modifier None Typical Low $204.17 Median $302.00 Typical High $467.74 | Professional | None | $204.17 | $302.00 | $467.74 |
Midlands Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Midlands Setting Professional Modifier None (both parts) Typical Low $245.47 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $245.47 | $331.13 | $331.13 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $169.82 Typical High $331.13 | Professional | None (both parts) | $44.67 | $169.82 | $331.13 |
United Setting Facility Modifier None Typical Low $257.04 Median $426.58 Typical High $537.03 | Facility | None | $257.04 | $426.58 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $169.82 Typical High $354.81 | Professional | None (both parts) | $131.83 | $169.82 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $44.67 Typical High $95.50 | Professional | 26 · Professional part | $39.81 | $44.67 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $125.89 Typical High $245.47 | Professional | TC · Technical part | $83.18 | $125.89 | $245.47 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $354.81 Median $380.19 Typical High $407.38 | Professional | None (both parts) | $354.81 | $380.19 | $407.38 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $91.20 Typical High $97.72 | Professional | 26 · Professional part | $85.11 | $91.20 | $97.72 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $288.40 Typical High $309.03 | Professional | TC · Technical part | $269.15 | $288.40 | $309.03 |
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 $60.26 Median $60.26 Typical High $97.72 | Professional | 52 · Reduced service | $60.26 | $60.26 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $38.90 | Professional | 53 · Discontinued | $24.55 | $24.55 | $38.90 |
Where Iowa sits
The same service costs 4.9 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· 15th of 51
$209
AK $468AL $95.50
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.