How much rates vary
Facilitymedian $1,622 · 10th to 90th $1,096 to $2,754Professionalmedian $1,585 · 10th to 90th $933 to $2,884
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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $851.14 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $147.91 Typical High $151.36 | Professional | 26 · Professional part | $114.82 | $147.91 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $870.96 Typical High $870.96 | Professional | TC · Technical part | $724.44 | $870.96 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,288.25 Typical High $2,511.89 | Professional | None (both parts) | $1,096.48 | $1,288.25 | $2,511.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $169.82 Typical High $323.59 | Professional | 26 · Professional part | $144.54 | $169.82 | $323.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,122.02 Typical High $2,187.76 | Professional | TC · Technical part | $977.24 | $1,122.02 | $2,187.76 |
Hally Health Setting Professional Modifier None Typical Low $831.76 Median $1,096.48 Typical High $3,981.07 | Professional | None | $831.76 | $1,096.48 | $3,981.07 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $154.88 Typical High $467.74 | Professional | 26 · Professional part | $123.03 | $154.88 | $467.74 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $933.25 Typical High $3,019.95 | Professional | TC · Technical part | $707.95 | $933.25 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $1,479.11 Typical High $2,454.71 | Facility | None | $1,096.48 | $1,479.11 | $2,454.71 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $2,137.96 Typical High $5,888.44 | Professional | None (both parts) | $1,258.93 | $2,137.96 | $5,888.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $309.03 Typical High $758.58 | Professional | 26 · Professional part | $141.25 | $309.03 | $758.58 |
Medica Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,995.26 Typical High $5,128.61 | Professional | TC · Technical part | $977.24 | $1,995.26 | $5,128.61 |
Midlands Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $2,511.89 | Professional | None | $1,288.25 | $1,288.25 | $2,511.89 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $323.59 | Professional | 26 · Professional part | $169.82 | $169.82 | $323.59 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,122.02 Typical High $2,187.76 | Professional | TC · Technical part | $1,122.02 | $1,122.02 | $2,187.76 |
Midlands Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $2,454.71 Typical High $3,388.44 | Professional | None (both parts) | $1,380.38 | $2,454.71 | $3,388.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $977.24 Typical High $1,949.84 | Professional | None (both parts) | $141.25 | $977.24 | $1,949.84 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $2,344.23 Typical High $2,951.21 | Facility | None | $1,380.38 | $2,344.23 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,513.56 Typical High $2,570.40 | Professional | None (both parts) | $1,023.29 | $1,513.56 | $2,570.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $204.17 Typical High $346.74 | Professional | 26 · Professional part | $134.90 | $204.17 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,288.25 Typical High $2,238.72 | Professional | TC · Technical part | $891.25 | $1,288.25 | $2,238.72 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,819.70 Typical High $2,137.96 | Professional | None (both parts) | $1,819.70 | $1,819.70 | $2,137.96 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $275.42 | Professional | 26 · Professional part | $234.42 | $234.42 | $275.42 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $1,584.89 Median $1,584.89 Typical High $1,862.09 | Professional | TC · Technical part | $1,584.89 | $1,584.89 | $1,862.09 |
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 $416.87 Median $512.86 Typical High $512.86 | Professional | 52 · Reduced service | $416.87 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $204.17 Typical High $204.17 | Professional | 53 · Discontinued | $169.82 | $204.17 | $204.17 |
Where Iowa sits
The same service costs 3.2 times more in Alaska than in Utah. 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· 9th of 51
$1,622
AK $2,455UT $759
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.