How much rates vary
Facilitymedian $288 · 10th to 90th $191 to $380Professionalmedian $240 · 10th to 90th $110 to $407
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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $151.36 Typical High $186.21 | Professional | None (both parts) | $83.18 | $151.36 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $33.88 Typical High $44.67 | Professional | 26 · Professional part | $20.89 | $33.88 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $112.20 Typical High $151.36 | Professional | TC · Technical part | $61.66 | $112.20 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $295.12 Typical High $363.08 | Professional | None (both parts) | $117.49 | $295.12 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $81.28 Typical High $104.71 | Professional | 26 · Professional part | $26.92 | $81.28 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $190.55 Typical High $295.12 | Professional | TC · Technical part | $81.28 | $190.55 | $295.12 |
Hally Health Setting Professional Modifier None Typical Low $114.82 Median $177.83 Typical High $281.84 | Professional | None | $114.82 | $177.83 | $281.84 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $30.20 Typical High $93.33 | Professional | 26 · Professional part | $21.38 | $30.20 | $93.33 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $125.89 Typical High $177.83 | Professional | TC · Technical part | $91.20 | $125.89 | $177.83 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $288.40 Typical High $380.19 | Facility | None | $190.55 | $288.40 | $380.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $162.18 Median $288.40 Typical High $1,000.00 | Professional | None (both parts) | $162.18 | $288.40 | $1,000.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $112.20 Typical High $281.84 | Professional | 26 · Professional part | $50.12 | $112.20 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $186.21 Typical High $724.44 | Professional | TC · Technical part | $100.00 | $186.21 | $724.44 |
Midlands Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $389.05 | Professional | None | $295.12 | $295.12 | $389.05 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $74.13 | $104.71 | $104.71 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $295.12 | Professional | TC · Technical part | $190.55 | $190.55 | $295.12 |
Midlands Setting Professional Modifier None (both parts) Typical Low $234.42 Median $338.84 Typical High $426.58 | Professional | None (both parts) | $234.42 | $338.84 | $426.58 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $24.55 Median $134.90 Typical High $269.15 | Professional | None (both parts) | $24.55 | $134.90 | $269.15 |
United Setting Facility Modifier None Typical Low $199.53 Median $331.13 Typical High $416.87 | Facility | None | $199.53 | $331.13 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $177.83 Typical High $407.38 | Professional | None (both parts) | $79.43 | $177.83 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $69.18 Typical High $125.89 | Professional | 26 · Professional part | $47.86 | $69.18 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $128.82 Typical High $281.84 | Professional | TC · Technical part | $83.18 | $128.82 | $281.84 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $281.84 | Professional | None (both parts) | $239.88 | $239.88 | $281.84 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $46.77 | Professional | 26 · Professional part | $39.81 | $39.81 | $46.77 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $234.42 | Professional | TC · Technical part | $199.53 | $199.53 | $234.42 |
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 $63.10 Median $79.43 Typical High $93.33 | Professional | 52 · Reduced service | $63.10 | $79.43 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $31.62 Typical High $37.15 | Professional | 53 · Discontinued | $25.12 | $31.62 | $37.15 |
Where Iowa sits
The same service costs 5.2 times more in Alaska than in Indiana. 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· 8th of 51
$240
AK $363IN $69.18
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.