How much rates vary
Facilitymedian $81 · 10th to 90th $43 to $389Professionalmedian $68 · 10th to 90th $34 to $100
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 $36.31 Median $60.26 Typical High $61.66 | Facility | None | $36.31 | $60.26 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $36.31 Typical High $56.23 | Professional | None (both parts) | $28.84 | $36.31 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.88 Typical High $18.62 | Professional | 26 · Professional part | $10.00 | $12.88 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $23.44 Typical High $35.48 | Professional | TC · Technical part | $18.62 | $23.44 | $35.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $75.86 Typical High $83.18 | Professional | None (both parts) | $39.81 | $75.86 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $25.70 Typical High $29.51 | Professional | 26 · Professional part | $15.49 | $25.70 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $50.12 Typical High $53.70 | Professional | TC · Technical part | $23.44 | $50.12 | $53.70 |
Hally Health Setting Professional Modifier None Typical Low $30.20 Median $39.81 Typical High $251.19 | Professional | None | $30.20 | $39.81 | $251.19 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $13.80 Typical High $95.50 | Professional | 26 · Professional part | $10.47 | $13.80 | $95.50 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.12 Typical High $138.04 | Professional | TC · Technical part | $19.50 | $25.12 | $138.04 |
Medica Setting Facility Modifier None Typical Low $42.66 Median $74.13 Typical High $380.19 | Facility | None | $42.66 | $74.13 | $380.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $41.69 Median $79.43 Typical High $194.98 | Professional | None (both parts) | $41.69 | $79.43 | $194.98 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $35.48 Typical High $69.18 | Professional | 26 · Professional part | $16.22 | $35.48 | $69.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $50.12 Typical High $128.82 | Professional | TC · Technical part | $24.55 | $50.12 | $128.82 |
Midlands Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $83.18 | Professional | None | $75.86 | $75.86 | $83.18 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $28.18 | Professional | 26 · Professional part | $25.70 | $25.70 | $28.18 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $50.12 Typical High $53.70 | Professional | TC · Technical part | $48.98 | $50.12 | $53.70 |
Midlands Setting Professional Modifier None (both parts) Typical Low $60.26 Median $81.28 Typical High $134.90 | Professional | None (both parts) | $60.26 | $81.28 | $134.90 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $12.30 Median $34.67 Typical High $67.61 | Professional | None (both parts) | $12.30 | $34.67 | $67.61 |
United Setting Facility Modifier None Typical Low $190.55 Median $323.59 Typical High $407.38 | Facility | None | $190.55 | $323.59 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $56.23 Typical High $97.72 | Professional | None (both parts) | $38.02 | $56.23 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $23.44 Typical High $38.90 | Professional | 26 · Professional part | $14.45 | $23.44 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.88 Typical High $58.88 | Professional | TC · Technical part | $23.44 | $33.88 | $58.88 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $72.44 | Professional | None (both parts) | $61.66 | $61.66 | $72.44 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $23.99 | Professional | 26 · Professional part | $20.42 | $20.42 | $23.99 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $48.98 | Professional | TC · Technical part | $41.69 | $41.69 | $48.98 |
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 $14.45 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $14.45 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $5.75 | $7.24 | $7.24 |
Where Iowa sits
The same service costs 2.7 times more in Alaska than in Florida. 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· 5th of 51
$70.79
AK $83.18FL $30.90
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.