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 $3,467.37 Median $6,918.31 Typical High $12,589.25 | Facility | None | $3,467.37 | $6,918.31 | $12,589.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $4,168.69 Median $4,168.69 Typical High $7,762.47 | Professional | None (both parts) | $4,168.69 | $4,168.69 | $7,762.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $758.58 Typical High $2,511.89 | Professional | None (both parts) | $616.60 | $758.58 | $2,511.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $630.96 Typical High $707.95 | Professional | 26 · Professional part | $537.03 | $630.96 | $707.95 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $6,309.57 Typical High $7,413.10 | Professional | None | $151.36 | $6,309.57 | $7,413.10 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $2,454.71 Typical High $8,511.38 | Facility | None | $371.54 | $2,454.71 | $8,511.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $323.59 Median $645.65 Typical High $1,659.59 | Professional | None (both parts) | $323.59 | $645.65 | $1,659.59 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $588.84 Typical High $1,659.59 | Professional | 26 · Professional part | $316.23 | $588.84 | $1,659.59 |
Midlands Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | 26 · Professional part | $562.34 | $562.34 | $562.34 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $4,897.79 Typical High $10,715.19 | Facility | None | $1,584.89 | $4,897.79 | $10,715.19 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $467.74 Typical High $794.33 | Professional | None (both parts) | $309.03 | $467.74 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $467.74 Typical High $794.33 | Professional | 26 · Professional part | $309.03 | $467.74 | $794.33 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,819.70 Typical High $2,137.96 | Professional | None (both parts) | $1,445.44 | $1,819.70 | $2,137.96 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $501.19 Typical High $588.84 | Professional | 26 · Professional part | $398.11 | $501.19 | $588.84 |
1 more rate 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 |
|---|---|---|---|---|---|
Wellmark Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $1,318.26 Typical High $1,548.82 | Professional | TC · Technical part | $1,023.29 | $1,318.26 | $1,548.82 |
Where Iowa sits
The same service costs 19.5 times more in Colorado 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· 29th of 51
$1,000
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.