How much rates vary
Facilitymedian $72 · 10th to 90th $39 to $389Professionalmedian $32 · 10th to 90th $14 to $66
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 $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.98 Median $21.88 Typical High $21.88 | Professional | None (both parts) | $16.98 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $17.78 Typical High $17.78 | Professional | 26 · Professional part | $13.80 | $17.78 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.16 Median $4.17 Typical High $4.17 | Professional | TC · Technical part | $3.16 | $4.17 | $4.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $15.49 Median $38.90 Typical High $51.29 | Professional | None (both parts) | $15.49 | $38.90 | $51.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $33.88 Typical High $38.02 | Professional | 26 · Professional part | $12.30 | $33.88 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2.95 Median $4.90 Typical High $5.75 | Professional | TC · Technical part | $2.95 | $4.90 | $5.75 |
Hally Health Setting Professional Modifier None Typical Low $13.18 Median $18.20 Typical High $112.20 | Professional | None | $13.18 | $18.20 | $112.20 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $14.79 Typical High $91.20 | Professional | 26 · Professional part | $10.72 | $14.79 | $91.20 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $2.45 Median $3.47 Typical High $45.71 | Professional | TC · Technical part | $2.45 | $3.47 | $45.71 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $51.29 Typical High $380.19 | Facility | None | $38.90 | $51.29 | $380.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $19.50 Median $37.15 Typical High $97.72 | Professional | None (both parts) | $19.50 | $37.15 | $97.72 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $19.05 Typical High $89.13 | Professional | 26 · Professional part | $13.49 | $19.05 | $89.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $4.47 Typical High $213.80 | Professional | TC · Technical part | $2.75 | $4.47 | $213.80 |
Midlands Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $38.90 | Professional | None | $33.11 | $33.11 | $38.90 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $33.88 | Professional | 26 · Professional part | $28.84 | $28.84 | $33.88 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $4.17 Median $4.17 Typical High $4.90 | Professional | TC · Technical part | $4.17 | $4.17 | $4.90 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $4.37 Median $18.62 Typical High $36.31 | Professional | None (both parts) | $4.37 | $18.62 | $36.31 |
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 $16.22 Median $22.91 Typical High $47.86 | Professional | None (both parts) | $16.22 | $22.91 | $47.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $18.20 Typical High $25.12 | Professional | 26 · Professional part | $13.49 | $18.20 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $3.80 Typical High $19.05 | Professional | TC · Technical part | $2.75 | $3.80 | $19.05 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $24.55 Median $31.62 Typical High $31.62 | Professional | None (both parts) | $24.55 | $31.62 | $31.62 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $19.50 | $25.12 | $25.12 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $5.13 Median $6.46 Typical High $6.46 | Professional | TC · Technical part | $5.13 | $6.46 | $6.46 |
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 $8.51 Median $10.96 Typical High $10.96 | Professional | 52 · Reduced service | $8.51 | $10.96 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $4.37 Typical High $4.37 | Professional | 53 · Discontinued | $3.39 | $4.37 | $4.37 |
Where Iowa sits
The same service costs 2.5 times more in California than in Texas. 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
$31.62
CA $40.74TX $16.22
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.