How much rates vary
Facilitymedian $263 · 10th to 90th $174 to $389Professionalmedian $263 · 10th to 90th $120 to $437
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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $169.82 Typical High $177.83 | Professional | None (both parts) | $120.23 | $169.82 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $43.65 Typical High $44.67 | Professional | 26 · Professional part | $24.55 | $43.65 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $125.89 Typical High $144.54 | Professional | TC · Technical part | $95.50 | $125.89 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $234.42 Typical High $436.52 | Professional | None (both parts) | $186.21 | $234.42 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $58.88 Typical High $79.43 | Professional | 26 · Professional part | $36.31 | $58.88 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $173.78 Typical High $346.74 | Professional | TC · Technical part | $158.49 | $173.78 | $346.74 |
Hally Health Setting Professional Modifier None Typical Low $141.25 Median $263.03 Typical High $457.09 | Professional | None | $141.25 | $263.03 | $457.09 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $52.48 Typical High $79.43 | Professional | 26 · Professional part | $33.11 | $52.48 | $79.43 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $204.17 Typical High $346.74 | Professional | TC · Technical part | $107.15 | $204.17 | $346.74 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $281.84 Typical High $389.05 | Facility | None | $186.21 | $281.84 | $389.05 |
Medica Setting Professional Modifier None (both parts) Typical Low $208.93 Median $295.12 Typical High $1,348.96 | Professional | None (both parts) | $208.93 | $295.12 | $1,348.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $67.61 Typical High $371.54 | Professional | 26 · Professional part | $32.36 | $67.61 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $331.13 Typical High $1,096.48 | Professional | TC · Technical part | $162.18 | $331.13 | $1,096.48 |
Midlands Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $436.52 | Professional | None | $234.42 | $234.42 | $436.52 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $66.07 | Professional | 26 · Professional part | $50.12 | $58.88 | $66.07 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $363.08 | Professional | TC · Technical part | $173.78 | $173.78 | $363.08 |
Midlands Setting Professional Modifier None (both parts) Typical Low $251.19 Median $354.81 Typical High $676.08 | Professional | None (both parts) | $251.19 | $354.81 | $676.08 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $173.78 Typical High $338.84 | Professional | None (both parts) | $40.74 | $173.78 | $338.84 |
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 $165.96 Median $257.04 Typical High $426.58 | Professional | None (both parts) | $165.96 | $257.04 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $41.69 Typical High $70.79 | Professional | 26 · Professional part | $26.92 | $41.69 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $213.80 Typical High $354.81 | Professional | TC · Technical part | $138.04 | $213.80 | $354.81 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $363.08 | Professional | None (both parts) | $309.03 | $309.03 | $363.08 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $77.62 | Professional | 26 · Professional part | $66.07 | $66.07 | $77.62 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $288.40 | Professional | TC · Technical part | $245.47 | $245.47 | $288.40 |
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 $61.66 Median $85.11 Typical High $87.10 | Professional | 52 · Reduced service | $61.66 | $85.11 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $33.88 Typical High $34.67 | Professional | 53 · Discontinued | $24.55 | $33.88 | $34.67 |
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· 10th of 51
$263
AK $407UT $117
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.