How much rates vary
Facilitymedian $302 · 10th to 90th $162 to $8,128Professionalmedian $214 · 10th to 90th $87 to $324
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 $141.25 Median $218.78 Typical High $275.42 | Facility | None | $141.25 | $218.78 | $275.42 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $114.82 Median $190.55 Typical High $229.09 | Facility | TC · Technical part | $114.82 | $190.55 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $141.25 Typical High $245.47 | Professional | None (both parts) | $112.20 | $141.25 | $245.47 |
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 $91.20 Median $114.82 Typical High $199.53 | Professional | TC · Technical part | $91.20 | $114.82 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $269.15 Typical High $331.13 | Professional | None (both parts) | $154.88 | $269.15 | $331.13 |
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 $218.78 Typical High $263.03 | Professional | TC · Technical part | $128.82 | $218.78 | $263.03 |
Hally Health Setting Professional Modifier None Typical Low $102.33 Median $213.80 Typical High $398.11 | Professional | None | $102.33 | $213.80 | $398.11 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $33.88 Typical High $100.00 | Professional | 26 · Professional part | $19.50 | $33.88 | $100.00 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $154.88 Typical High $288.40 | Professional | TC · Technical part | $83.18 | $154.88 | $288.40 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $288.40 Typical High $537.03 | Facility | None | $199.53 | $288.40 | $537.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $169.82 Median $263.03 Typical High $1,047.13 | Professional | None (both parts) | $169.82 | $263.03 | $1,047.13 |
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 $117.49 Median $239.88 Typical High $933.25 | Professional | TC · Technical part | $117.49 | $239.88 | $933.25 |
Midlands Setting Professional Modifier None Typical Low $229.09 Median $269.15 Typical High $309.03 | Professional | None | $229.09 | $269.15 | $309.03 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $50.12 Typical High $53.70 | Professional | 26 · Professional part | $43.65 | $50.12 | $53.70 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $218.78 Typical High $257.04 | Professional | TC · Technical part | $186.21 | $218.78 | $257.04 |
Midlands Setting Professional Modifier None (both parts) Typical Low $75.86 Median $295.12 Typical High $575.44 | Professional | None (both parts) | $75.86 | $295.12 | $575.44 |
Oscar Health Setting Facility Modifier None Typical Low $1,202.26 Median $3,890.45 Typical High $10,964.78 | Facility | None | $1,202.26 | $3,890.45 | $10,964.78 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $22.91 Median $117.49 Typical High $229.09 | Professional | None (both parts) | $22.91 | $117.49 | $229.09 |
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 $123.03 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $123.03 | $199.53 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $34.67 Typical High $60.26 | Professional | 26 · Professional part | $22.91 | $34.67 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $165.96 Typical High $257.04 | Professional | TC · Technical part | $102.33 | $165.96 | $257.04 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $251.19 | Professional | None (both parts) | $213.80 | $213.80 | $251.19 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $43.65 | Professional | 26 · Professional part | $37.15 | $37.15 | $43.65 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $208.93 | Professional | TC · Technical part | $173.78 | $173.78 | $208.93 |
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 $56.23 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $56.23 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $22.39 | $28.18 | $28.18 |
Where Iowa sits
The same service costs 4.0 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· 8th of 51
$224
MN $380UT $95.50
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.