How much rates vary
Facilitymedian $66 · 10th to 90th $49 to $76Professionalmedian $56 · 10th to 90th $28 to $112
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 $29.51 Median $51.29 Typical High $58.88 | Facility | None | $29.51 | $51.29 | $58.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $29.51 Typical High $56.23 | Professional | None (both parts) | $24.55 | $29.51 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.71 Typical High $14.79 | Professional | 26 · Professional part | $6.92 | $8.71 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $20.89 Typical High $41.69 | Professional | TC · Technical part | $18.20 | $20.89 | $41.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $58.88 Typical High $70.79 | Professional | None (both parts) | $42.66 | $58.88 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $16.98 Typical High $19.95 | Professional | 26 · Professional part | $10.47 | $16.98 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $41.69 Typical High $52.48 | Professional | TC · Technical part | $31.62 | $41.69 | $52.48 |
Hally Health Setting Professional Modifier None Typical Low $21.38 Median $66.07 Typical High $173.78 | Professional | None | $21.38 | $66.07 | $173.78 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $12.30 Typical High $22.39 | Professional | 26 · Professional part | $6.61 | $12.30 | $22.39 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $50.12 Typical High $154.88 | Professional | TC · Technical part | $15.14 | $50.12 | $154.88 |
Medica Setting Facility Modifier None Typical Low $56.23 Median $70.79 Typical High $75.86 | Facility | None | $56.23 | $70.79 | $75.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $30.20 Median $69.18 Typical High $645.65 | Professional | None (both parts) | $30.20 | $69.18 | $645.65 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $18.62 Typical High $229.09 | Professional | 26 · Professional part | $8.32 | $18.62 | $229.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $45.71 Typical High $537.03 | Professional | TC · Technical part | $20.42 | $45.71 | $537.03 |
Midlands Setting Professional Modifier None Typical Low $51.29 Median $58.88 Typical High $70.79 | Professional | None | $51.29 | $58.88 | $70.79 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.98 Typical High $19.50 | Professional | 26 · Professional part | $14.45 | $16.98 | $19.50 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $41.69 Typical High $51.29 | Professional | TC · Technical part | $36.31 | $41.69 | $51.29 |
Midlands Setting Professional Modifier None (both parts) Typical Low $45.71 Median $63.10 Typical High $186.21 | Professional | None (both parts) | $45.71 | $63.10 | $186.21 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.32 Median $25.70 Typical High $51.29 | Professional | None (both parts) | $8.32 | $25.70 | $51.29 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $41.69 Typical High $72.44 | Professional | None (both parts) | $26.92 | $41.69 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.72 Typical High $20.89 | Professional | 26 · Professional part | $7.59 | $10.72 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $30.20 Typical High $51.29 | Professional | TC · Technical part | $19.50 | $30.20 | $51.29 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $60.26 | Professional | None (both parts) | $51.29 | $51.29 | $60.26 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $17.38 | Professional | 26 · Professional part | $14.79 | $14.79 | $17.38 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $42.66 | Professional | TC · Technical part | $36.31 | $36.31 | $42.66 |
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 $12.30 Median $14.79 Typical High $21.38 | Professional | 52 · Reduced service | $12.30 | $14.79 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $5.89 Typical High $8.51 | Professional | 53 · Discontinued | $4.90 | $5.89 | $8.51 |
Where Iowa sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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· 5th of 51
$58.88
MN $69.18MD $25.70
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.