How much rates vary
Facilitymedian $537 · 10th to 90th $372 to $759Professionalmedian $407 · 10th to 90th $209 to $741
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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $302.00 Typical High $316.23 | Professional | None (both parts) | $234.42 | $302.00 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $43.65 | $56.23 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $245.47 Typical High $263.03 | Professional | TC · Technical part | $194.98 | $245.47 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $398.11 Typical High $724.44 | Professional | None (both parts) | $309.03 | $398.11 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $102.33 Typical High $123.03 | Professional | 26 · Professional part | $54.95 | $102.33 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $295.12 Typical High $602.56 | Professional | TC · Technical part | $263.03 | $295.12 | $602.56 |
Hally Health Setting Professional Modifier None Typical Low $223.87 Median $416.87 Typical High $741.31 | Professional | None | $223.87 | $416.87 | $741.31 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $72.44 Typical High $131.83 | Professional | 26 · Professional part | $41.69 | $72.44 | $131.83 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $323.59 Typical High $562.34 | Professional | TC · Technical part | $181.97 | $323.59 | $562.34 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $537.03 Typical High $758.58 | Facility | None | $371.54 | $537.03 | $758.58 |
Medica Setting Professional Modifier None (both parts) Typical Low $371.54 Median $489.78 Typical High $1,905.46 | Professional | None (both parts) | $371.54 | $489.78 | $1,905.46 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $117.49 Typical High $588.84 | Professional | 26 · Professional part | $53.70 | $117.49 | $588.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $549.54 Typical High $1,621.81 | Professional | TC · Technical part | $257.04 | $549.54 | $1,621.81 |
Midlands Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $741.31 | Professional | None | $398.11 | $398.11 | $741.31 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $102.33 Typical High $123.03 | Professional | 26 · Professional part | $93.33 | $102.33 | $123.03 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $616.60 | Professional | TC · Technical part | $295.12 | $295.12 | $616.60 |
Midlands Setting Professional Modifier None (both parts) Typical Low $426.58 Median $676.08 Typical High $1,071.52 | Professional | None (both parts) | $426.58 | $676.08 | $1,071.52 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $269.15 Typical High $537.03 | Professional | None (both parts) | $51.29 | $269.15 | $537.03 |
United Setting Facility Modifier None Typical Low $354.81 Median $602.56 Typical High $758.58 | Facility | None | $354.81 | $602.56 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $407.38 Typical High $707.95 | Professional | None (both parts) | $275.42 | $407.38 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $74.13 Typical High $128.82 | Professional | 26 · Professional part | $48.98 | $74.13 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $331.13 Typical High $575.44 | Professional | TC · Technical part | $229.09 | $331.13 | $575.44 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $489.78 Median $489.78 Typical High $575.44 | Professional | None (both parts) | $489.78 | $489.78 | $575.44 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $97.72 | Professional | 26 · Professional part | $83.18 | $83.18 | $97.72 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $407.38 Typical High $478.63 | Professional | TC · Technical part | $407.38 | $407.38 | $478.63 |
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 $123.03 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $123.03 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $60.26 Typical High $61.66 | Professional | 53 · Discontinued | $48.98 | $60.26 | $61.66 |
Where Iowa sits
The same service costs 3.0 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· 10th of 51
$417
AK $646UT $214
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.