How much rates vary
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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $112.20 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $54.95 | $67.61 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $69.18 Typical High $69.18 | Professional | TC · Technical part | $54.95 | $69.18 | $69.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $251.19 Typical High $281.84 | Professional | None (both parts) | $213.80 | $251.19 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $128.82 Typical High $165.96 | Professional | 26 · Professional part | $102.33 | $128.82 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $123.03 Typical High $141.25 | Professional | TC · Technical part | $97.72 | $123.03 | $141.25 |
Hally Health Setting Professional Modifier None Typical Low $100.00 Median $147.91 Typical High $245.47 | Professional | None | $100.00 | $147.91 | $245.47 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $89.13 Typical High $138.04 | Professional | 26 · Professional part | $50.12 | $89.13 | $138.04 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $57.54 Typical High $107.15 | Professional | TC · Technical part | $50.12 | $57.54 | $107.15 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $269.15 Typical High $977.24 | Facility | None | $186.21 | $269.15 | $977.24 |
Medica Setting Professional Modifier None (both parts) Typical Low $128.82 Median $245.47 Typical High $851.14 | Professional | None (both parts) | $128.82 | $245.47 | $851.14 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $147.91 Typical High $562.34 | Professional | 26 · Professional part | $63.10 | $147.91 | $562.34 |
Medica Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $128.82 Typical High $562.34 | Professional | TC · Technical part | $53.70 | $128.82 | $562.34 |
Midlands Setting Professional Modifier None Typical Low $213.80 Median $234.42 Typical High $281.84 | Professional | None | $213.80 | $234.42 | $281.84 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $123.03 Typical High $138.04 | Professional | 26 · Professional part | $109.65 | $123.03 | $138.04 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $120.23 Typical High $141.25 | Professional | TC · Technical part | $104.71 | $120.23 | $141.25 |
Midlands Setting Professional Modifier None (both parts) Typical Low $223.87 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $223.87 | $288.40 | $288.40 |
United Setting Facility Modifier None Typical Low $676.08 Median $1,122.02 Typical High $1,412.54 | Facility | None | $676.08 | $1,122.02 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $162.18 Typical High $302.00 | Professional | None (both parts) | $114.82 | $162.18 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $89.13 Typical High $165.96 | Professional | 26 · Professional part | $60.26 | $89.13 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $74.13 Typical High $141.25 | Professional | TC · Technical part | $52.48 | $74.13 | $141.25 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $269.15 | Professional | None (both parts) | $229.09 | $229.09 | $269.15 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $125.89 | Professional | 26 · Professional part | $107.15 | $107.15 | $125.89 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $144.54 | Professional | TC · Technical part | $123.03 | $123.03 | $144.54 |
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 $54.95 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $54.95 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $22.39 | $27.54 | $27.54 |
Where Iowa sits
The same service costs 3.8 times more in Minnesota 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· 6th of 51
$229
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.