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 $144.54 Median $288.40 Typical High $288.40 | Facility | None | $144.54 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $144.54 Typical High $263.03 | Professional | None (both parts) | $117.49 | $144.54 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.18 Typical High $40.74 | Professional | 26 · Professional part | $22.39 | $28.18 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $117.49 Typical High $223.87 | Professional | TC · Technical part | $93.33 | $117.49 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $295.12 Typical High $346.74 | Professional | None (both parts) | $151.36 | $295.12 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $48.98 Typical High $61.66 | Professional | 26 · Professional part | $25.12 | $48.98 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $245.47 Typical High $295.12 | Professional | TC · Technical part | $128.82 | $245.47 | $295.12 |
Hally Health Setting Professional Modifier None Typical Low $107.15 Median $204.17 Typical High $389.05 | Professional | None | $107.15 | $204.17 | $389.05 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $35.48 Typical High $70.79 | Professional | 26 · Professional part | $21.38 | $35.48 | $70.79 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $158.49 Typical High $288.40 | Professional | TC · Technical part | $85.11 | $158.49 | $288.40 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $288.40 Typical High $346.74 | Facility | None | $204.17 | $288.40 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $177.83 Median $288.40 Typical High $1,047.13 | Professional | None (both parts) | $177.83 | $288.40 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $57.54 Typical High $302.00 | Professional | 26 · Professional part | $26.30 | $57.54 | $302.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $251.19 Typical High $912.01 | Professional | TC · Technical part | $123.03 | $251.19 | $912.01 |
Midlands Setting Professional Modifier None Typical Low $251.19 Median $295.12 Typical High $323.59 | Professional | None | $251.19 | $295.12 | $323.59 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $48.98 Typical High $61.66 | Professional | 26 · Professional part | $47.86 | $48.98 | $61.66 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $245.47 Typical High $263.03 | Professional | TC · Technical part | $208.93 | $245.47 | $263.03 |
Midlands Setting Professional Modifier None (both parts) Typical Low $67.61 Median $316.23 Typical High $549.54 | Professional | None (both parts) | $67.61 | $316.23 | $549.54 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $27.54 Median $125.89 Typical High $245.47 | Professional | None (both parts) | $27.54 | $125.89 | $245.47 |
United Setting Facility Modifier None Typical Low $154.88 Median $263.03 Typical High $331.13 | Facility | None | $154.88 | $263.03 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $204.17 Typical High $331.13 | Professional | None (both parts) | $131.83 | $204.17 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $36.31 Typical High $64.57 | Professional | 26 · Professional part | $25.70 | $36.31 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $177.83 Typical High $269.15 | Professional | TC · Technical part | $104.71 | $177.83 | $269.15 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $269.15 | Professional | None (both parts) | $229.09 | $229.09 | $269.15 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $50.12 | Professional | 26 · Professional part | $42.66 | $42.66 | $50.12 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $218.78 | Professional | TC · Technical part | $186.21 | $186.21 | $218.78 |
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 $58.88 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $58.88 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $23.44 | $29.51 | $29.51 |
Where Iowa sits
The same service costs 3.3 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· 8th of 51
$229
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.