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 $154.88 Median $302.00 Typical High $302.00 | Facility | None | $154.88 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $154.88 Typical High $302.00 | Professional | None (both parts) | $123.03 | $154.88 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.70 Typical High $44.67 | Professional | 26 · Professional part | $19.95 | $25.70 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $128.82 Typical High $251.19 | Professional | TC · Technical part | $102.33 | $128.82 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $309.03 Typical High $354.81 | Professional | None (both parts) | $154.88 | $309.03 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $50.12 Typical High $57.54 | Professional | 26 · Professional part | $25.12 | $50.12 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $257.04 Typical High $295.12 | Professional | TC · Technical part | $128.82 | $257.04 | $295.12 |
Hally Health Setting Professional Modifier None Typical Low $112.20 Median $229.09 Typical High $467.74 | Professional | None | $112.20 | $229.09 | $467.74 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $33.88 Typical High $66.07 | Professional | 26 · Professional part | $19.50 | $33.88 | $66.07 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $173.78 Typical High $407.38 | Professional | TC · Technical part | $93.33 | $173.78 | $407.38 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $331.13 Typical High $398.11 | Facility | None | $218.78 | $331.13 | $398.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $181.97 Median $302.00 Typical High $1,174.90 | Professional | None (both parts) | $181.97 | $302.00 | $1,174.90 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $56.23 Typical High $309.03 | Professional | 26 · Professional part | $25.12 | $56.23 | $309.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $269.15 Typical High $1,047.13 | Professional | TC · Technical part | $128.82 | $269.15 | $1,047.13 |
Midlands Setting Professional Modifier None Typical Low $263.03 Median $309.03 Typical High $346.74 | Professional | None | $263.03 | $309.03 | $346.74 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $50.12 Typical High $57.54 | Professional | 26 · Professional part | $42.66 | $50.12 | $57.54 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $257.04 Typical High $288.40 | Professional | TC · Technical part | $218.78 | $257.04 | $288.40 |
Midlands Setting Professional Modifier None (both parts) Typical Low $107.15 Median $331.13 Typical High $630.96 | Professional | None (both parts) | $107.15 | $331.13 | $630.96 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $25.12 Median $134.90 Typical High $269.15 | Professional | None (both parts) | $25.12 | $134.90 | $269.15 |
United Setting Facility Modifier None Typical Low $323.59 Median $537.03 Typical High $676.08 | Facility | None | $323.59 | $537.03 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $218.78 Typical High $346.74 | Professional | None (both parts) | $134.90 | $218.78 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $33.88 Typical High $58.88 | Professional | 26 · Professional part | $22.91 | $33.88 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $186.21 Typical High $281.84 | Professional | TC · Technical part | $112.20 | $186.21 | $281.84 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $288.40 | Professional | None (both parts) | $245.47 | $245.47 | $288.40 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $45.71 | Professional | 26 · Professional part | $38.90 | $38.90 | $45.71 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $239.88 | Professional | TC · Technical part | $204.17 | $204.17 | $239.88 |
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 $61.66 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $61.66 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $24.55 | $30.90 | $30.90 |
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
$245
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.