How much rates vary
Facilitymedian $661 · 10th to 90th $204 to $1,445Professionalmedian $229 · 10th to 90th $110 to $302
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 $107.15 Median $204.17 Typical High $239.88 | Facility | None | $107.15 | $204.17 | $239.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $107.15 Median $190.55 Typical High $281.84 | Facility | TC · Technical part | $107.15 | $190.55 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $141.25 Typical High $281.84 | Professional | None (both parts) | $107.15 | $141.25 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.70 Typical High $51.29 | Professional | 26 · Professional part | $19.50 | $25.70 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $114.82 Typical High $234.42 | Professional | TC · Technical part | $89.13 | $114.82 | $234.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $223.87 Typical High $269.15 | Professional | None (both parts) | $91.20 | $223.87 | $269.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.30 Typical High $48.98 | Professional | 26 · Professional part | $21.88 | $26.30 | $48.98 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $154.88 Typical High $218.78 | Professional | TC · Technical part | $97.72 | $154.88 | $218.78 |
BCBS Setting Facility Modifier None Typical Low $251.19 Median $338.84 Typical High $645.65 | Facility | None | $251.19 | $338.84 | $645.65 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $29.51 Typical High $38.90 | Professional | 26 · Professional part | $16.60 | $29.51 | $38.90 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $134.90 Typical High $177.83 | Professional | TC · Technical part | $75.86 | $134.90 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $234.42 Typical High $281.84 | Professional | None (both parts) | $229.09 | $234.42 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $43.65 Typical High $51.29 | Professional | 26 · Professional part | $41.69 | $43.65 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $190.55 Typical High $234.42 | Professional | TC · Technical part | $186.21 | $190.55 | $234.42 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $954.99 Typical High $1,348.96 | Facility | None | $363.08 | $954.99 | $1,348.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $181.97 Median $275.42 Typical High $1,047.13 | Professional | None (both parts) | $181.97 | $275.42 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $239.88 | Professional | 26 · Professional part | $34.67 | $46.77 | $239.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $223.87 Typical High $933.25 | Professional | TC · Technical part | $151.36 | $223.87 | $933.25 |
Midlands Setting Professional Modifier None Typical Low $229.09 Median $234.42 Typical High $295.12 | Professional | None | $229.09 | $234.42 | $295.12 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $43.65 Typical High $52.48 | Professional | 26 · Professional part | $41.69 | $43.65 | $52.48 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $190.55 Typical High $239.88 | Professional | TC · Technical part | $186.21 | $190.55 | $239.88 |
Midlands Setting Professional Modifier None (both parts) Typical Low $229.09 Median $288.40 Typical High $302.00 | Professional | None (both parts) | $229.09 | $288.40 | $302.00 |
Oscar Health Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,073.80 | Facility | None | $3,467.37 | $3,467.37 | $4,073.80 |
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 $128.82 Median $138.04 Typical High $177.83 | Facility | None | $128.82 | $138.04 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $229.09 Typical High $295.12 | Professional | None (both parts) | $181.97 | $229.09 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $56.23 | Professional | 26 · Professional part | $34.67 | $40.74 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $186.21 Typical High $245.47 | Professional | TC · Technical part | $147.91 | $186.21 | $245.47 |
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 $53.70 Median $53.70 Typical High $70.79 | Professional | 52 · Reduced service | $53.70 | $53.70 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $28.18 | Professional | 53 · Discontinued | $21.88 | $21.88 | $28.18 |
Where Nebraska 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.
Nebraska· 6th of 51
$234
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.