How much rates vary
Facilitymedian $41 · 10th to 90th $21 to $76Professionalmedian $31 · 10th to 90th $14 to $42
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 $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.85 Median $19.50 Typical High $19.50 | Professional | None (both parts) | $15.85 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.00 Typical High $10.00 | Professional | 26 · Professional part | $7.94 | $10.00 | $10.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $9.77 Typical High $9.77 | Professional | TC · Technical part | $7.59 | $9.77 | $9.77 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.02 Typical High $41.69 | Professional | None (both parts) | $30.90 | $38.02 | $41.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.05 Typical High $20.42 | Professional | 26 · Professional part | $14.79 | $19.05 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $18.62 Typical High $20.42 | Professional | TC · Technical part | $14.13 | $18.62 | $20.42 |
Hally Health Setting Professional Modifier None Typical Low $16.22 Median $21.38 Typical High $104.71 | Professional | None | $16.22 | $21.38 | $104.71 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.23 Typical High $52.48 | Professional | 26 · Professional part | $8.13 | $10.23 | $52.48 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $7.94 Median $10.23 Typical High $50.12 | Professional | TC · Technical part | $7.94 | $10.23 | $50.12 |
Medica Setting Facility Modifier None Typical Low $20.89 Median $36.31 Typical High $66.07 | Facility | None | $20.89 | $36.31 | $66.07 |
Medica Setting Professional Modifier None (both parts) Typical Low $18.20 Median $36.31 Typical High $100.00 | Professional | None (both parts) | $18.20 | $36.31 | $100.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $19.95 Typical High $51.29 | Professional | 26 · Professional part | $9.12 | $19.95 | $51.29 |
Medica Setting Professional Modifier TC · Technical part Typical Low $7.94 Median $17.78 Typical High $48.98 | Professional | TC · Technical part | $7.94 | $17.78 | $48.98 |
Midlands Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $39.81 | Professional | None | $32.36 | $32.36 | $39.81 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.05 Typical High $20.42 | Professional | 26 · Professional part | $16.22 | $19.05 | $20.42 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $18.62 Typical High $19.05 | Professional | TC · Technical part | $15.85 | $18.62 | $19.05 |
Midlands Setting Professional Modifier None (both parts) Typical Low $34.67 Median $41.69 Typical High $42.66 | Professional | None (both parts) | $34.67 | $41.69 | $42.66 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.71 Median $17.38 Typical High $34.67 | Professional | None (both parts) | $8.71 | $17.38 | $34.67 |
United Setting Facility Modifier None Typical Low $43.65 Median $72.44 Typical High $91.20 | Facility | None | $43.65 | $72.44 | $91.20 |
United Setting Professional Modifier None (both parts) Typical Low $16.60 Median $24.55 Typical High $44.67 | Professional | None (both parts) | $16.60 | $24.55 | $44.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.88 Typical High $23.99 | Professional | 26 · Professional part | $8.71 | $12.88 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $7.76 Median $11.75 Typical High $20.42 | Professional | TC · Technical part | $7.76 | $11.75 | $20.42 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $39.81 | Professional | None (both parts) | $33.88 | $33.88 | $39.81 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $19.50 | Professional | 26 · Professional part | $16.60 | $16.60 | $19.50 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $17.38 Typical High $20.42 | Professional | TC · Technical part | $17.38 | $17.38 | $20.42 |
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 $7.94 Median $9.77 Typical High $9.77 | Professional | 52 · Reduced service | $7.94 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.89 Typical High $3.89 | Professional | 53 · Discontinued | $3.16 | $3.89 | $3.89 |
Where Iowa sits
The same service costs 2.7 times more in Minnesota 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
$31.62
MN $38.02FL $14.13
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.