How much rates vary
Facilitymedian $123 · 10th to 90th $83 to $166Professionalmedian $76 · 10th to 90th $41 to $110
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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $44.67 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $19.95 | $30.20 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $36.31 Typical High $36.31 | Professional | TC · Technical part | $24.55 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $109.65 Typical High $141.25 | Professional | None (both parts) | $41.69 | $109.65 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $48.98 Typical High $54.95 | Professional | 26 · Professional part | $17.78 | $48.98 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $61.66 Typical High $75.86 | Professional | TC · Technical part | $23.44 | $61.66 | $75.86 |
Hally Health Setting Professional Modifier None Typical Low $33.88 Median $46.77 Typical High $123.03 | Professional | None | $33.88 | $46.77 | $123.03 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $20.89 Typical High $42.66 | Professional | 26 · Professional part | $15.14 | $20.89 | $42.66 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $24.55 Typical High $69.18 | Professional | TC · Technical part | $18.62 | $24.55 | $69.18 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $117.49 Typical High $151.36 | Facility | None | $83.18 | $117.49 | $151.36 |
Medica Setting Professional Modifier None (both parts) Typical Low $45.71 Median $75.86 Typical High $169.82 | Professional | None (both parts) | $45.71 | $75.86 | $169.82 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.12 Typical High $128.82 | Professional | 26 · Professional part | $19.95 | $25.12 | $128.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $29.51 Typical High $223.87 | Professional | TC · Technical part | $22.39 | $29.51 | $223.87 |
Midlands Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $109.65 | Professional | None | $93.33 | $93.33 | $109.65 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $48.98 | Professional | 26 · Professional part | $41.69 | $41.69 | $48.98 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $61.66 | Professional | TC · Technical part | $52.48 | $52.48 | $61.66 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $22.39 Median $47.86 Typical High $95.50 | Professional | None (both parts) | $22.39 | $47.86 | $95.50 |
United Setting Facility Modifier None Typical Low $89.13 Median $147.91 Typical High $186.21 | Facility | None | $89.13 | $147.91 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $51.29 Typical High $89.13 | Professional | None (both parts) | $42.66 | $51.29 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.44 Typical High $33.11 | Professional | 26 · Professional part | $19.95 | $23.44 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $27.54 Typical High $54.95 | Professional | TC · Technical part | $22.39 | $27.54 | $54.95 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $64.57 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $64.57 | $83.18 | $83.18 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $28.18 | $36.31 | $36.31 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $37.15 | $47.86 | $47.86 |
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 $22.39 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $22.39 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $8.91 | $13.18 | $13.18 |
Where Iowa sits
The same service costs 3.4 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· 4th of 51
$75.86
AK $123UT $36.31
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.