How much rates vary
Facilitymedian $741 · 10th to 90th $468 to $1,549Professionalmedian $708 · 10th to 90th $437 to $1,622
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 $446.68 Median $588.84 Typical High $707.95 | Facility | None | $446.68 | $588.84 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $707.95 Typical High $1,023.29 | Professional | None (both parts) | $478.63 | $707.95 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $154.88 Typical High $229.09 | Professional | 26 · Professional part | $120.23 | $154.88 | $229.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $676.08 Typical High $954.99 | Professional | TC · Technical part | $467.74 | $676.08 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $588.84 Typical High $758.58 | Professional | None (both parts) | $363.08 | $588.84 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $295.12 Typical High $354.81 | Professional | 26 · Professional part | $186.21 | $295.12 | $354.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $295.12 Typical High $416.87 | Professional | TC · Technical part | $186.21 | $295.12 | $416.87 |
Hally Health Setting Professional Modifier None Typical Low $309.03 Median $398.11 Typical High $1,148.15 | Professional | None | $309.03 | $398.11 | $1,148.15 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $245.47 Typical High $512.86 | Professional | 26 · Professional part | $114.82 | $245.47 | $512.86 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $602.56 | Professional | TC · Technical part | $158.49 | $204.17 | $602.56 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $741.31 Typical High $1,412.54 | Facility | None | $501.19 | $741.31 | $1,412.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $501.19 Median $676.08 Typical High $2,454.71 | Professional | None (both parts) | $501.19 | $676.08 | $2,454.71 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $338.84 Typical High $1,148.15 | Professional | 26 · Professional part | $147.91 | $338.84 | $1,148.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $954.99 Typical High $1,949.84 | Professional | TC · Technical part | $245.47 | $954.99 | $1,949.84 |
Midlands Setting Professional Modifier None Typical Low $562.34 Median $588.84 Typical High $1,445.44 | Professional | None | $562.34 | $588.84 | $1,445.44 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $295.12 Typical High $354.81 | Professional | 26 · Professional part | $257.04 | $295.12 | $354.81 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $1,096.48 | Professional | TC · Technical part | $295.12 | $295.12 | $1,096.48 |
Midlands Setting Professional Modifier None (both parts) Typical Low $263.03 Median $630.96 Typical High $1,445.44 | Professional | None (both parts) | $263.03 | $630.96 | $1,445.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $263.03 Typical High $512.86 | Professional | None (both parts) | $128.82 | $263.03 | $512.86 |
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 $446.68 Median $707.95 Typical High $1,621.81 | Professional | None (both parts) | $446.68 | $707.95 | $1,621.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $199.53 Typical High $371.54 | Professional | 26 · Professional part | $131.83 | $199.53 | $371.54 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $524.81 Typical High $1,258.93 | Professional | TC · Technical part | $223.87 | $524.81 | $1,258.93 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,202.26 Typical High $1,412.54 | Professional | None (both parts) | $1,202.26 | $1,202.26 | $1,412.54 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $245.47 Typical High $288.40 | Professional | 26 · Professional part | $245.47 | $245.47 | $288.40 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $954.99 Typical High $1,122.02 | Professional | TC · Technical part | $954.99 | $954.99 | $1,122.02 |
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 $251.19 Median $354.81 Typical High $501.19 | Professional | 52 · Reduced service | $251.19 | $354.81 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $141.25 Typical High $204.17 | Professional | 53 · Discontinued | $100.00 | $141.25 | $204.17 |
Where Iowa sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 8th of 51
$708
AK $1,000WA $324
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.