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 $208.93 Median $281.84 Typical High $380.19 | Facility | None | $208.93 | $281.84 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $208.93 Typical High $309.03 | Professional | None (both parts) | $169.82 | $208.93 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $107.15 Typical High $158.49 | Professional | 26 · Professional part | $85.11 | $107.15 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $144.54 | Professional | TC · Technical part | $83.18 | $100.00 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $416.87 Typical High $660.69 | Professional | None (both parts) | $263.03 | $416.87 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $208.93 Typical High $245.47 | Professional | 26 · Professional part | $123.03 | $208.93 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $208.93 Typical High $489.78 | Professional | TC · Technical part | $144.54 | $208.93 | $489.78 |
Hally Health Setting Professional Modifier None Typical Low $223.87 Median $416.87 Typical High $691.83 | Professional | None | $223.87 | $416.87 | $691.83 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $162.18 Typical High $251.19 | Professional | 26 · Professional part | $81.28 | $162.18 | $251.19 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $257.04 Typical High $436.52 | Professional | TC · Technical part | $141.25 | $257.04 | $436.52 |
Medica Setting Facility Modifier None Typical Low $213.80 Median $446.68 Typical High $524.81 | Facility | None | $213.80 | $446.68 | $524.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $295.12 Median $446.68 Typical High $1,230.27 | Professional | None (both parts) | $295.12 | $446.68 | $1,230.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $229.09 Typical High $549.54 | Professional | 26 · Professional part | $102.33 | $229.09 | $549.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $398.11 Typical High $1,096.48 | Professional | TC · Technical part | $181.97 | $398.11 | $1,096.48 |
Midlands Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $489.78 | Professional | None | $416.87 | $416.87 | $489.78 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $208.93 Typical High $245.47 | Professional | 26 · Professional part | $181.97 | $208.93 | $245.47 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $239.88 | Professional | TC · Technical part | $208.93 | $208.93 | $239.88 |
Midlands Setting Professional Modifier None (both parts) Typical Low $316.23 Median $446.68 Typical High $489.78 | Professional | None (both parts) | $316.23 | $446.68 | $489.78 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $190.55 Typical High $457.09 | Professional | None (both parts) | $89.13 | $190.55 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $380.19 Typical High $741.31 | Professional | None (both parts) | $269.15 | $380.19 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $131.83 Typical High $263.03 | Professional | 26 · Professional part | $93.33 | $131.83 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $245.47 Typical High $489.78 | Professional | TC · Technical part | $173.78 | $245.47 | $489.78 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $398.11 | Professional | None (both parts) | $338.84 | $338.84 | $398.11 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $204.17 | Professional | 26 · Professional part | $169.82 | $169.82 | $204.17 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $199.53 | Professional | TC · Technical part | $169.82 | $169.82 | $199.53 |
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 $83.18 Median $102.33 Typical High $151.36 | Professional | 52 · Reduced service | $83.18 | $102.33 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $41.69 Typical High $60.26 | Professional | 53 · Discontinued | $33.11 | $41.69 | $60.26 |
Where Iowa sits
The same service costs 3.1 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· 9th of 51
$407
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.