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 $158.49 Median $269.15 Typical High $309.03 | Facility | None | $158.49 | $269.15 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $158.49 Typical High $275.42 | Professional | None (both parts) | $120.23 | $158.49 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $27.54 Typical High $47.86 | Professional | 26 · Professional part | $21.38 | $27.54 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $128.82 Typical High $229.09 | Professional | TC · Technical part | $102.33 | $128.82 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $302.00 Typical High $371.54 | Professional | None (both parts) | $169.82 | $302.00 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $54.95 Typical High $57.54 | Professional | 26 · Professional part | $24.55 | $54.95 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $251.19 Typical High $316.23 | Professional | TC · Technical part | $147.91 | $251.19 | $316.23 |
Hally Health Setting Professional Modifier None Typical Low $123.03 Median $229.09 Typical High $467.74 | Professional | None | $123.03 | $229.09 | $467.74 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $33.88 Typical High $74.13 | Professional | 26 · Professional part | $20.89 | $33.88 | $74.13 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $181.97 Typical High $407.38 | Professional | TC · Technical part | $102.33 | $181.97 | $407.38 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $295.12 Typical High $371.54 | Facility | None | $218.78 | $295.12 | $371.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $208.93 Median $295.12 Typical High $1,230.27 | Professional | None (both parts) | $208.93 | $295.12 | $1,230.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $56.23 Typical High $239.88 | Professional | 26 · Professional part | $25.70 | $56.23 | $239.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $302.00 Typical High $1,122.02 | Professional | TC · Technical part | $147.91 | $302.00 | $1,122.02 |
Midlands Setting Professional Modifier None Typical Low $257.04 Median $302.00 Typical High $371.54 | Professional | None | $257.04 | $302.00 | $371.54 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $57.54 | Professional | 26 · Professional part | $46.77 | $54.95 | $57.54 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $251.19 Typical High $316.23 | Professional | TC · Technical part | $213.80 | $251.19 | $316.23 |
Midlands Setting Professional Modifier None (both parts) Typical Low $67.61 Median $323.59 Typical High $616.60 | Professional | None (both parts) | $67.61 | $323.59 | $616.60 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $25.70 Median $141.25 Typical High $281.84 | Professional | None (both parts) | $25.70 | $141.25 | $281.84 |
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 $151.36 Median $239.88 Typical High $389.05 | Professional | None (both parts) | $151.36 | $239.88 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $35.48 Typical High $66.07 | Professional | 26 · Professional part | $24.55 | $35.48 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $213.80 Typical High $323.59 | Professional | TC · Technical part | $128.82 | $213.80 | $323.59 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $302.00 | Professional | None (both parts) | $257.04 | $257.04 | $302.00 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $47.86 | Professional | 26 · Professional part | $40.74 | $40.74 | $47.86 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $251.19 | Professional | TC · Technical part | $213.80 | $213.80 | $251.19 |
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 $60.26 Median $77.62 Typical High $79.43 | Professional | 52 · Reduced service | $60.26 | $77.62 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $30.90 Typical High $31.62 | Professional | 53 · Discontinued | $23.99 | $30.90 | $31.62 |
Where Iowa sits
The same service costs 3.7 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· 5th of 51
$269
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.