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 $97.72 Median $162.18 Typical High $190.55 | Facility | None | $97.72 | $162.18 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $97.72 Typical High $190.55 | Professional | None (both parts) | $79.43 | $97.72 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $14.13 Typical High $26.30 | Professional | 26 · Professional part | $11.48 | $14.13 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $83.18 Typical High $162.18 | Professional | TC · Technical part | $67.61 | $83.18 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $199.53 Typical High $229.09 | Professional | None (both parts) | $97.72 | $199.53 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $29.51 Typical High $33.11 | Professional | 26 · Professional part | $13.80 | $29.51 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $169.82 Typical High $194.98 | Professional | TC · Technical part | $85.11 | $169.82 | $194.98 |
Hally Health Setting Professional Modifier None Typical Low $70.79 Median $134.90 Typical High $223.87 | Professional | None | $70.79 | $134.90 | $223.87 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $18.62 Typical High $39.81 | Professional | 26 · Professional part | $10.96 | $18.62 | $39.81 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $93.33 Typical High $186.21 | Professional | TC · Technical part | $60.26 | $93.33 | $186.21 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $218.78 Typical High $389.05 | Facility | None | $158.49 | $218.78 | $389.05 |
Medica Setting Professional Modifier None (both parts) Typical Low $107.15 Median $194.98 Typical High $776.25 | Professional | None (both parts) | $107.15 | $194.98 | $776.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $30.90 Typical High $269.15 | Professional | 26 · Professional part | $14.13 | $30.90 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $177.83 Typical High $691.83 | Professional | TC · Technical part | $85.11 | $177.83 | $691.83 |
Midlands Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $223.87 | Professional | None | $169.82 | $199.53 | $223.87 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $33.11 | Professional | 26 · Professional part | $25.12 | $29.51 | $33.11 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $169.82 Typical High $190.55 | Professional | TC · Technical part | $144.54 | $169.82 | $190.55 |
Midlands Setting Professional Modifier None (both parts) Typical Low $58.88 Median $204.17 Typical High $407.38 | Professional | None (both parts) | $58.88 | $204.17 | $407.38 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $13.49 Median $83.18 Typical High $169.82 | Professional | None (both parts) | $13.49 | $83.18 | $169.82 |
United Setting Facility Modifier None Typical Low $199.53 Median $331.13 Typical High $416.87 | Facility | None | $199.53 | $331.13 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $141.25 Typical High $218.78 | Professional | None (both parts) | $87.10 | $141.25 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $19.50 Typical High $33.88 | Professional | 26 · Professional part | $12.88 | $19.50 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $123.03 Typical High $186.21 | Professional | TC · Technical part | $74.13 | $123.03 | $186.21 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $177.83 | Professional | None (both parts) | $151.36 | $151.36 | $177.83 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $25.12 | Professional | 26 · Professional part | $21.38 | $21.38 | $25.12 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $154.88 | Professional | TC · Technical part | $131.83 | $131.83 | $154.88 |
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 $38.90 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $38.90 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $15.85 | $19.50 | $19.50 |
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
$151
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.