How much rates vary
Facilitymedian $112 · 10th to 90th $60 to $170Professionalmedian $117 · 10th to 90th $56 to $170
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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $85.11 Typical High $93.33 | Professional | None (both parts) | $70.79 | $85.11 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $37.15 | $43.65 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $40.74 Typical High $43.65 | Professional | TC · Technical part | $30.90 | $40.74 | $43.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $144.54 Typical High $173.78 | Professional | None (both parts) | $120.23 | $144.54 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $85.11 Typical High $89.13 | Professional | 26 · Professional part | $67.61 | $85.11 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $58.88 Typical High $85.11 | Professional | TC · Technical part | $42.66 | $58.88 | $85.11 |
Hally Health Setting Professional Modifier None Typical Low $69.18 Median $89.13 Typical High $239.88 | Professional | None | $69.18 | $89.13 | $239.88 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $43.65 Typical High $134.90 | Professional | 26 · Professional part | $34.67 | $43.65 | $134.90 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $42.66 Typical High $100.00 | Professional | TC · Technical part | $33.11 | $42.66 | $100.00 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $117.49 Typical High $190.55 | Facility | None | $74.13 | $117.49 | $190.55 |
Medica Setting Professional Modifier None (both parts) Typical Low $75.86 Median $141.25 Typical High $457.09 | Professional | None (both parts) | $75.86 | $141.25 | $457.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $91.20 Typical High $229.09 | Professional | 26 · Professional part | $40.74 | $91.20 | $229.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $60.26 Typical High $229.09 | Professional | TC · Technical part | $28.84 | $60.26 | $229.09 |
Midlands Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $173.78 | Professional | None | $123.03 | $144.54 | $173.78 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $85.11 Typical High $89.13 | Professional | 26 · Professional part | $72.44 | $85.11 | $89.13 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $58.88 Typical High $85.11 | Professional | TC · Technical part | $50.12 | $58.88 | $85.11 |
Midlands Setting Professional Modifier None (both parts) Typical Low $120.23 Median $181.97 Typical High $190.55 | Professional | None (both parts) | $120.23 | $181.97 | $190.55 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $34.67 Median $70.79 Typical High $141.25 | Professional | None (both parts) | $34.67 | $70.79 | $141.25 |
United Setting Facility Modifier None Typical Low $56.23 Median $93.33 Typical High $117.49 | Facility | None | $56.23 | $93.33 | $117.49 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $93.33 Typical High $186.21 | Professional | None (both parts) | $66.07 | $93.33 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $57.54 Typical High $107.15 | Professional | 26 · Professional part | $38.90 | $57.54 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $33.88 Typical High $75.86 | Professional | TC · Technical part | $27.54 | $33.88 | $75.86 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $165.96 | Professional | None (both parts) | $138.04 | $138.04 | $165.96 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $83.18 | Professional | 26 · Professional part | $70.79 | $70.79 | $83.18 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $81.28 | Professional | TC · Technical part | $69.18 | $69.18 | $81.28 |
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 $35.48 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $35.48 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $14.13 | $16.98 | $16.98 |
Where Iowa sits
The same service costs 3.3 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· 9th of 51
$117
AK $162UT $48.98
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.