How much rates vary
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 $223.87 Median $269.15 Typical High $302.00 | Facility | None | $223.87 | $269.15 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $269.15 Typical High $426.58 | Professional | None (both parts) | $223.87 | $269.15 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $107.15 Typical High $165.96 | Professional | 26 · Professional part | $81.28 | $107.15 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $158.49 Typical High $281.84 | Professional | TC · Technical part | $138.04 | $158.49 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $562.34 Typical High $645.65 | Professional | None (both parts) | $331.13 | $562.34 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $208.93 Typical High $251.19 | Professional | 26 · Professional part | $112.20 | $208.93 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $346.74 Typical High $416.87 | Professional | TC · Technical part | $204.17 | $346.74 | $416.87 |
Hally Health Setting Professional Modifier None Typical Low $194.98 Median $338.84 Typical High $537.03 | Professional | None | $194.98 | $338.84 | $537.03 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $112.20 Typical High $177.83 | Professional | 26 · Professional part | $81.28 | $112.20 | $177.83 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $194.98 Typical High $380.19 | Professional | TC · Technical part | $114.82 | $194.98 | $380.19 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $602.56 Typical High $794.33 | Facility | None | $316.23 | $602.56 | $794.33 |
Medica Setting Professional Modifier None (both parts) Typical Low $269.15 Median $549.54 Typical High $1,479.11 | Professional | None (both parts) | $269.15 | $549.54 | $1,479.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $208.93 Typical High $562.34 | Professional | 26 · Professional part | $89.13 | $208.93 | $562.34 |
Medica Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $363.08 Typical High $1,174.90 | Professional | TC · Technical part | $154.88 | $363.08 | $1,174.90 |
Midlands Setting Professional Modifier None Typical Low $478.63 Median $562.34 Typical High $645.65 | Professional | None | $478.63 | $562.34 | $645.65 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $208.93 Typical High $251.19 | Professional | 26 · Professional part | $177.83 | $208.93 | $251.19 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $346.74 Typical High $398.11 | Professional | TC · Technical part | $295.12 | $346.74 | $398.11 |
Midlands Setting Professional Modifier None (both parts) Typical Low $524.81 Median $575.44 Typical High $776.25 | Professional | None (both parts) | $524.81 | $575.44 | $776.25 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $229.09 Typical High $467.74 | Professional | None (both parts) | $100.00 | $229.09 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $346.74 Typical High $645.65 | Professional | None (both parts) | $234.42 | $346.74 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $109.65 Typical High $257.04 | Professional | 26 · Professional part | $83.18 | $109.65 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $239.88 Typical High $389.05 | Professional | TC · Technical part | $147.91 | $239.88 | $389.05 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $549.54 | Professional | None (both parts) | $467.74 | $467.74 | $549.54 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $177.83 Typical High $208.93 | Professional | 26 · Professional part | $177.83 | $177.83 | $208.93 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $338.84 | Professional | TC · Technical part | $288.40 | $288.40 | $338.84 |
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 $109.65 Median $134.90 Typical High $194.98 | Professional | 52 · Reduced service | $109.65 | $134.90 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $53.70 Typical High $77.62 | Professional | 53 · Discontinued | $43.65 | $53.70 | $77.62 |
Where Iowa sits
The same service costs 4.7 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
$468
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.