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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $194.98 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $141.25 | $173.78 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $50.12 | $58.88 | $58.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $457.09 Typical High $575.44 | Professional | None (both parts) | $380.19 | $457.09 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $338.84 Typical High $416.87 | Professional | 26 · Professional part | $281.84 | $338.84 | $416.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $125.89 Typical High $154.88 | Professional | TC · Technical part | $97.72 | $125.89 | $154.88 |
Hally Health Setting Professional Modifier None Typical Low $190.55 Median $245.47 Typical High $977.24 | Professional | None | $190.55 | $245.47 | $977.24 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $173.78 Typical High $660.69 | Professional | 26 · Professional part | $138.04 | $173.78 | $660.69 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $61.66 Typical High $263.03 | Professional | TC · Technical part | $47.86 | $61.66 | $263.03 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $549.54 Typical High $2,344.23 | Facility | None | $354.81 | $549.54 | $2,344.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $229.09 Median $467.74 Typical High $1,258.93 | Professional | None (both parts) | $229.09 | $467.74 | $1,258.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $389.05 Typical High $891.25 | Professional | 26 · Professional part | $165.96 | $389.05 | $891.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $138.04 Typical High $512.86 | Professional | TC · Technical part | $54.95 | $138.04 | $512.86 |
Midlands Setting Professional Modifier None Typical Low $389.05 Median $457.09 Typical High $489.78 | Professional | None | $389.05 | $457.09 | $489.78 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $338.84 Typical High $363.08 | Professional | 26 · Professional part | $288.40 | $338.84 | $363.08 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $123.03 Typical High $125.89 | Professional | TC · Technical part | $107.15 | $123.03 | $125.89 |
Midlands Setting Professional Modifier None (both parts) Typical Low $436.52 Median $501.19 Typical High $524.81 | Professional | None (both parts) | $436.52 | $501.19 | $524.81 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $54.95 Median $194.98 Typical High $380.19 | Professional | None (both parts) | $54.95 | $194.98 | $380.19 |
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 $213.80 Median $371.54 Typical High $602.56 | Professional | None (both parts) | $213.80 | $371.54 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $263.03 Typical High $436.52 | Professional | 26 · Professional part | $158.49 | $263.03 | $436.52 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $102.33 Typical High $181.97 | Professional | TC · Technical part | $52.48 | $102.33 | $181.97 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $446.68 | Professional | None (both parts) | $380.19 | $380.19 | $446.68 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $275.42 Typical High $323.59 | Professional | 26 · Professional part | $275.42 | $275.42 | $323.59 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $117.49 | Professional | TC · Technical part | $100.00 | $100.00 | $117.49 |
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 $95.50 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $95.50 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $38.90 | $46.77 | $46.77 |
Where Iowa sits
The same service costs 3.5 times more in Alaska than in Utah. 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
$380
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.