How much rates vary
Facilitymedian $1,622 · 10th to 90th $1,000 to $13,183Professionalmedian $1,122 · 10th to 90th $525 to $1,549
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 $660.69 Median $6,760.83 Typical High $10,471.29 | Facility | None | $660.69 | $6,760.83 | $10,471.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $660.69 Typical High $691.83 | Professional | None (both parts) | $575.44 | $660.69 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $354.81 Typical High $371.54 | Professional | 26 · Professional part | $309.03 | $354.81 | $371.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $309.03 Typical High $331.13 | Professional | TC · Technical part | $263.03 | $309.03 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,348.96 Typical High $1,479.11 | Professional | None (both parts) | $1,122.02 | $1,348.96 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $724.44 Typical High $776.25 | Professional | 26 · Professional part | $537.03 | $724.44 | $776.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $616.60 Typical High $707.95 | Professional | TC · Technical part | $602.56 | $616.60 | $707.95 |
Hally Health Setting Professional Modifier None Typical Low $562.34 Median $831.76 Typical High $1,230.27 | Professional | None | $562.34 | $831.76 | $1,230.27 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $457.09 Typical High $630.96 | Professional | 26 · Professional part | $275.42 | $457.09 | $630.96 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $363.08 Typical High $524.81 | Professional | TC · Technical part | $281.84 | $363.08 | $524.81 |
Medica Setting Facility Modifier None Typical Low $1,000.00 Median $1,380.38 Typical High $5,248.07 | Facility | None | $1,000.00 | $1,380.38 | $5,248.07 |
Medica Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,318.26 Typical High $5,128.61 | Professional | None (both parts) | $776.25 | $1,318.26 | $5,128.61 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $794.33 Typical High $2,398.83 | Professional | 26 · Professional part | $323.59 | $794.33 | $2,398.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $831.76 Typical High $4,677.35 | Professional | TC · Technical part | $354.81 | $831.76 | $4,677.35 |
Midlands Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,348.96 | Professional | None | $1,148.15 | $1,148.15 | $1,348.96 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $616.60 Median $616.60 Typical High $724.44 | Professional | 26 · Professional part | $616.60 | $616.60 | $724.44 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $524.81 Typical High $676.08 | Professional | TC · Technical part | $524.81 | $524.81 | $676.08 |
Midlands Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,479.11 Typical High $1,548.82 | Professional | None (both parts) | $1,148.15 | $1,479.11 | $1,548.82 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $588.84 Typical High $1,096.48 | Professional | None (both parts) | $331.13 | $588.84 | $1,096.48 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,995.26 Typical High $25,118.86 | Facility | None | $1,096.48 | $1,995.26 | $25,118.86 |
United Setting Professional Modifier None (both parts) Typical Low $660.69 Median $891.25 Typical High $1,862.09 | Professional | None (both parts) | $660.69 | $891.25 | $1,862.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $467.74 Typical High $870.96 | Professional | 26 · Professional part | $316.23 | $467.74 | $870.96 |
United Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $426.58 Typical High $1,000.00 | Professional | TC · Technical part | $346.74 | $426.58 | $1,000.00 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $1,318.26 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $1,318.26 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $602.56 Median $602.56 Typical High $707.95 | Professional | 26 · Professional part | $602.56 | $602.56 | $707.95 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $524.81 Typical High $616.60 | Professional | TC · Technical part | $524.81 | $524.81 | $616.60 |
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 $275.42 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $275.42 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $109.65 | $131.83 | $131.83 |
Where Iowa sits
The same service costs 3.0 times more in Alaska than in Hawaii. 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· 7th of 51
$1,122
AK $1,288HI $437
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.