How much rates vary
Facilitymedian $417 · 10th to 90th $166 to $1,479Professionalmedian $309 · 10th to 90th $162 to $447
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 $141.25 Median $181.97 Typical High $181.97 | Facility | None | $141.25 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $181.97 Typical High $281.84 | Professional | None (both parts) | $147.91 | $181.97 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $43.65 Typical High $67.61 | Professional | 26 · Professional part | $34.67 | $43.65 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $138.04 Typical High $208.93 | Professional | TC · Technical part | $109.65 | $138.04 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $316.23 Typical High $416.87 | Professional | None (both parts) | $204.17 | $316.23 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $85.11 Typical High $100.00 | Professional | 26 · Professional part | $50.12 | $85.11 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $234.42 Typical High $323.59 | Professional | TC · Technical part | $154.88 | $234.42 | $323.59 |
Hally Health Setting Professional Modifier None Typical Low $131.83 Median $181.97 Typical High $602.56 | Professional | None | $131.83 | $181.97 | $602.56 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $60.26 Typical High $147.91 | Professional | 26 · Professional part | $32.36 | $60.26 | $147.91 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $134.90 Typical High $457.09 | Professional | TC · Technical part | $100.00 | $134.90 | $457.09 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $398.11 Typical High $1,348.96 | Facility | None | $165.96 | $398.11 | $1,348.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $173.78 Median $309.03 Typical High $1,023.29 | Professional | None (both parts) | $173.78 | $309.03 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $93.33 Typical High $281.84 | Professional | 26 · Professional part | $40.74 | $93.33 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $275.42 Typical High $794.33 | Professional | TC · Technical part | $120.23 | $275.42 | $794.33 |
Midlands Setting Professional Modifier None Typical Low $302.00 Median $316.23 Typical High $446.68 | Professional | None | $302.00 | $316.23 | $446.68 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $85.11 Typical High $100.00 | Professional | 26 · Professional part | $72.44 | $85.11 | $100.00 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $234.42 Typical High $338.84 | Professional | TC · Technical part | $229.09 | $234.42 | $338.84 |
Midlands Setting Professional Modifier None (both parts) Typical Low $245.47 Median $380.19 Typical High $446.68 | Professional | None (both parts) | $245.47 | $380.19 | $446.68 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $154.88 Typical High $309.03 | Professional | None (both parts) | $38.90 | $154.88 | $309.03 |
United Setting Facility Modifier None Typical Low $812.83 Median $1,380.38 Typical High $1,737.80 | Facility | None | $812.83 | $1,380.38 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $186.21 Typical High $436.52 | Professional | None (both parts) | $154.88 | $186.21 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $104.71 | Professional | 26 · Professional part | $37.15 | $52.48 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $141.25 Typical High $331.13 | Professional | TC · Technical part | $114.82 | $141.25 | $331.13 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $363.08 | Professional | None (both parts) | $309.03 | $309.03 | $363.08 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $81.28 | Professional | 26 · Professional part | $69.18 | $69.18 | $81.28 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $281.84 | Professional | TC · Technical part | $239.88 | $239.88 | $281.84 |
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 $75.86 Median $91.20 Typical High $131.83 | Professional | 52 · Reduced service | $75.86 | $91.20 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $36.31 Typical High $52.48 | Professional | 53 · Discontinued | $30.20 | $36.31 | $52.48 |
Where Iowa sits
The same service costs 3.0 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· 4th of 51
$309
AK $380UT $129
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.