How much rates vary
Facilitymedian $115 · 10th to 90th $65 to $191Professionalmedian $138 · 10th to 90th $76 to $200
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 $72.44 Median $93.33 Typical High $93.33 | Facility | None | $72.44 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $93.33 Typical High $100.00 | Professional | None (both parts) | $72.44 | $93.33 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $45.71 Typical High $60.26 | Professional | 26 · Professional part | $38.02 | $45.71 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $48.98 Typical High $51.29 | Professional | TC · Technical part | $37.15 | $48.98 | $51.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $138.04 Typical High $194.98 | Professional | None (both parts) | $134.90 | $138.04 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $114.82 | Professional | 26 · Professional part | $69.18 | $87.10 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $102.33 | Professional | TC · Technical part | $52.48 | $52.48 | $102.33 |
Hally Health Setting Professional Modifier None Typical Low $58.88 Median $89.13 Typical High $194.98 | Professional | None | $58.88 | $89.13 | $194.98 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $42.66 Typical High $125.89 | Professional | 26 · Professional part | $28.84 | $42.66 | $125.89 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $41.69 Typical High $69.18 | Professional | TC · Technical part | $30.20 | $41.69 | $69.18 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $134.90 Typical High $208.93 | Facility | None | $79.43 | $134.90 | $208.93 |
Medica Setting Professional Modifier None (both parts) Typical Low $87.10 Median $134.90 Typical High $562.34 | Professional | None (both parts) | $87.10 | $134.90 | $562.34 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $97.72 Typical High $234.42 | Professional | 26 · Professional part | $47.86 | $97.72 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $67.61 Typical High $288.40 | Professional | TC · Technical part | $30.20 | $67.61 | $288.40 |
Midlands Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $194.98 | Professional | None | $117.49 | $138.04 | $194.98 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $83.18 Typical High $93.33 | Professional | 26 · Professional part | $74.13 | $83.18 | $93.33 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $52.48 Typical High $102.33 | Professional | TC · Technical part | $44.67 | $52.48 | $102.33 |
Midlands Setting Professional Modifier None (both parts) Typical Low $117.49 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $117.49 | $208.93 | $208.93 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $79.43 Typical High $158.49 | Professional | None (both parts) | $38.90 | $79.43 | $158.49 |
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 $75.86 Median $109.65 Typical High $190.55 | Professional | None (both parts) | $75.86 | $109.65 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $67.61 Typical High $107.15 | Professional | 26 · Professional part | $41.69 | $67.61 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $48.98 Typical High $85.11 | Professional | TC · Technical part | $28.84 | $48.98 | $85.11 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $186.21 | Professional | None (both parts) | $158.49 | $158.49 | $186.21 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $87.10 | Professional | 26 · Professional part | $74.13 | $74.13 | $87.10 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $97.72 | Professional | TC · Technical part | $83.18 | $83.18 | $97.72 |
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 $39.81 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $39.81 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $15.85 | $18.62 | $18.62 |
Where Iowa sits
The same service costs 3.4 times more in Alaska than in New York. 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· 7th of 51
$138
AK $182NY $53.70
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.