How much rates vary
Facilitymedian $380 · 10th to 90th $200 to $3,020Professionalmedian $204 · 10th to 90th $107 to $324
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 $117.49 Median $199.53 Typical High $229.09 | Facility | None | $117.49 | $199.53 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $117.49 Typical High $218.78 | Professional | None (both parts) | $93.33 | $117.49 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $54.95 | Professional | 26 · Professional part | $23.99 | $30.20 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $87.10 Typical High $162.18 | Professional | TC · Technical part | $70.79 | $87.10 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $234.42 Typical High $281.84 | Professional | None (both parts) | $138.04 | $234.42 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $58.88 Typical High $69.18 | Professional | 26 · Professional part | $36.31 | $58.88 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $173.78 Typical High $208.93 | Professional | TC · Technical part | $107.15 | $173.78 | $208.93 |
Hally Health Setting Professional Modifier None Typical Low $85.11 Median $158.49 Typical High $346.74 | Professional | None | $85.11 | $158.49 | $346.74 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $42.66 Typical High $85.11 | Professional | 26 · Professional part | $22.91 | $42.66 | $85.11 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $109.65 Typical High $269.15 | Professional | TC · Technical part | $61.66 | $109.65 | $269.15 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $295.12 Typical High $616.60 | Facility | None | $208.93 | $295.12 | $616.60 |
Medica Setting Professional Modifier None (both parts) Typical Low $112.20 Median $229.09 Typical High $691.83 | Professional | None (both parts) | $112.20 | $229.09 | $691.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $64.57 Typical High $281.84 | Professional | 26 · Professional part | $28.84 | $64.57 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $181.97 Typical High $478.63 | Professional | TC · Technical part | $77.62 | $181.97 | $478.63 |
Midlands Setting Professional Modifier None Typical Low $199.53 Median $234.42 Typical High $281.84 | Professional | None | $199.53 | $234.42 | $281.84 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $58.88 Typical High $69.18 | Professional | 26 · Professional part | $51.29 | $58.88 | $69.18 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $173.78 Typical High $208.93 | Professional | TC · Technical part | $147.91 | $173.78 | $208.93 |
Midlands Setting Professional Modifier None (both parts) Typical Low $190.55 Median $251.19 Typical High $371.54 | Professional | None (both parts) | $190.55 | $251.19 | $371.54 |
Oscar Health Setting Facility Modifier None Typical Low $588.84 Median $2,570.40 Typical High $3,801.89 | Facility | None | $588.84 | $2,570.40 | $3,801.89 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $27.54 Median $102.33 Typical High $204.17 | Professional | None (both parts) | $27.54 | $102.33 | $204.17 |
United Setting Facility Modifier None Typical Low $354.81 Median $602.56 Typical High $758.58 | Facility | None | $354.81 | $602.56 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $141.25 Typical High $269.15 | Professional | None (both parts) | $100.00 | $141.25 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $38.02 Typical High $74.13 | Professional | 26 · Professional part | $26.30 | $38.02 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $102.33 Typical High $194.98 | Professional | TC · Technical part | $74.13 | $102.33 | $194.98 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $239.88 | Professional | None (both parts) | $204.17 | $204.17 | $239.88 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $57.54 | Professional | 26 · Professional part | $48.98 | $48.98 | $57.54 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $181.97 | Professional | TC · Technical part | $151.36 | $151.36 | $181.97 |
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 $46.77 Median $58.88 Typical High $85.11 | Professional | 52 · Reduced service | $46.77 | $58.88 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $23.44 Typical High $33.88 | Professional | 53 · Discontinued | $18.62 | $23.44 | $33.88 |
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· 4th of 51
$209
MN $275UT $72.44
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.