How much rates vary
Facilitymedian $537 · 10th to 90th $288 to $6,026Professionalmedian $339 · 10th to 90th $135 to $513
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 $218.78 Median $363.08 Typical High $436.52 | Facility | None | $218.78 | $363.08 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $218.78 Typical High $380.19 | Professional | None (both parts) | $177.83 | $218.78 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $67.61 | Professional | 26 · Professional part | $31.62 | $39.81 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $181.97 Typical High $309.03 | Professional | TC · Technical part | $144.54 | $181.97 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $446.68 Typical High $512.86 | Professional | None (both parts) | $218.78 | $446.68 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $77.62 Typical High $89.13 | Professional | 26 · Professional part | $38.90 | $77.62 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $371.54 Typical High $416.87 | Professional | TC · Technical part | $186.21 | $371.54 | $416.87 |
Hally Health Setting Professional Modifier None Typical Low $158.49 Median $309.03 Typical High $616.60 | Professional | None | $158.49 | $309.03 | $616.60 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $51.29 Typical High $158.49 | Professional | 26 · Professional part | $30.20 | $51.29 | $158.49 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $223.87 Typical High $478.63 | Professional | TC · Technical part | $128.82 | $223.87 | $478.63 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $478.63 Typical High $724.44 | Facility | None | $288.40 | $478.63 | $724.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $269.15 Median $436.52 Typical High $1,584.89 | Professional | None (both parts) | $269.15 | $436.52 | $1,584.89 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $85.11 Typical High $891.25 | Professional | 26 · Professional part | $38.90 | $85.11 | $891.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $389.05 Typical High $1,380.38 | Professional | TC · Technical part | $190.55 | $389.05 | $1,380.38 |
Midlands Setting Professional Modifier None Typical Low $380.19 Median $446.68 Typical High $489.78 | Professional | None | $380.19 | $446.68 | $489.78 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $77.62 Typical High $85.11 | Professional | 26 · Professional part | $67.61 | $77.62 | $85.11 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $371.54 Typical High $407.38 | Professional | TC · Technical part | $316.23 | $371.54 | $407.38 |
Midlands Setting Professional Modifier None (both parts) Typical Low $112.20 Median $467.74 Typical High $851.14 | Professional | None (both parts) | $112.20 | $467.74 | $851.14 |
Oscar Health Setting Facility Modifier None Typical Low $831.76 Median $2,818.38 Typical High $7,943.28 | Facility | None | $831.76 | $2,818.38 | $7,943.28 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $186.21 Typical High $363.08 | Professional | None (both parts) | $37.15 | $186.21 | $363.08 |
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 $199.53 Median $316.23 Typical High $512.86 | Professional | None (both parts) | $199.53 | $316.23 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $53.70 Typical High $93.33 | Professional | 26 · Professional part | $35.48 | $53.70 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $269.15 Typical High $416.87 | Professional | TC · Technical part | $162.18 | $269.15 | $416.87 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $398.11 | Professional | None (both parts) | $338.84 | $338.84 | $398.11 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $69.18 | Professional | 26 · Professional part | $58.88 | $58.88 | $69.18 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $331.13 | Professional | TC · Technical part | $275.42 | $275.42 | $331.13 |
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 $89.13 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $89.13 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $35.48 | $43.65 | $43.65 |
Where Iowa sits
The same service costs 3.5 times more in Minnesota 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· 7th of 51
$355
MN $550UT $158
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.