How much rates vary
Facilitymedian $141 · 10th to 90th $47 to $8,913Professionalmedian $49 · 10th to 90th $26 to $209
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 $26.92 Median $46.77 Typical High $53.70 | Facility | None | $26.92 | $46.77 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $26.92 Typical High $53.70 | Professional | None (both parts) | $22.91 | $26.92 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3.09 Median $3.80 Typical High $6.76 | Professional | 26 · Professional part | $3.09 | $3.80 | $6.76 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.44 Typical High $45.71 | Professional | TC · Technical part | $20.42 | $23.44 | $45.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $48.98 Typical High $70.79 | Professional | None (both parts) | $41.69 | $48.98 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $7.24 Typical High $8.71 | Professional | 26 · Professional part | $5.01 | $7.24 | $8.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $41.69 Typical High $61.66 | Professional | TC · Technical part | $37.15 | $41.69 | $61.66 |
Hally Health Setting Professional Modifier None Typical Low $19.50 Median $112.20 Typical High $316.23 | Professional | None | $19.50 | $112.20 | $316.23 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $2.82 Median $5.75 Typical High $35.48 | Professional | 26 · Professional part | $2.82 | $5.75 | $35.48 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $77.62 Typical High $245.47 | Professional | TC · Technical part | $16.60 | $77.62 | $245.47 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $72.44 Typical High $147.91 | Facility | None | $53.70 | $72.44 | $147.91 |
Medica Setting Professional Modifier None (both parts) Typical Low $27.54 Median $66.07 Typical High $724.44 | Professional | None (both parts) | $27.54 | $66.07 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $3.63 Median $8.51 Typical High $288.40 | Professional | 26 · Professional part | $3.63 | $8.51 | $288.40 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $57.54 Typical High $660.69 | Professional | TC · Technical part | $22.91 | $57.54 | $660.69 |
Midlands Setting Professional Modifier None Typical Low $47.86 Median $48.98 Typical High $66.07 | Professional | None | $47.86 | $48.98 | $66.07 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.24 Typical High $8.71 | Professional | 26 · Professional part | $6.46 | $7.24 | $8.71 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $41.69 Typical High $57.54 | Professional | TC · Technical part | $40.74 | $41.69 | $57.54 |
Midlands Setting Professional Modifier None (both parts) Typical Low $38.90 Median $57.54 Typical High $426.58 | Professional | None (both parts) | $38.90 | $57.54 | $426.58 |
Oscar Health Setting Facility Modifier None Typical Low $549.54 Median $5,754.40 Typical High $10,000.00 | Facility | None | $549.54 | $5,754.40 | $10,000.00 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $5.75 Median $24.55 Typical High $47.86 | Professional | None (both parts) | $5.75 | $24.55 | $47.86 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $41.69 Typical High $93.33 | Professional | None (both parts) | $25.12 | $41.69 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $4.90 Typical High $9.33 | Professional | 26 · Professional part | $3.24 | $4.90 | $9.33 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $35.48 Typical High $79.43 | Professional | TC · Technical part | $21.88 | $35.48 | $79.43 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $56.23 | Professional | None (both parts) | $47.86 | $47.86 | $56.23 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $6.76 Typical High $7.94 | Professional | 26 · Professional part | $6.76 | $6.76 | $7.94 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $47.86 | Professional | TC · Technical part | $40.74 | $40.74 | $47.86 |
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 $11.48 Median $13.49 Typical High $19.95 | Professional | 52 · Reduced service | $11.48 | $13.49 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.37 Typical High $8.13 | Professional | 53 · Discontinued | $4.68 | $5.37 | $8.13 |
Where Iowa sits
The same service costs 2.9 times more in Kansas 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· 10th of 51
$48.98
KS $74.13MD $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.