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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $141.25 Typical High $218.78 | Professional | None (both parts) | $112.20 | $141.25 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $97.72 | Professional | 26 · Professional part | $57.54 | $74.13 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $69.18 Typical High $138.04 | Professional | TC · Technical part | $54.95 | $69.18 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $281.84 Typical High $323.59 | Professional | None (both parts) | $181.97 | $281.84 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $141.25 Typical High $158.49 | Professional | 26 · Professional part | $70.79 | $141.25 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $141.25 Typical High $173.78 | Professional | TC · Technical part | $104.71 | $141.25 | $173.78 |
Hally Health Setting Professional Modifier None Typical Low $104.71 Median $223.87 Typical High $630.96 | Professional | None | $104.71 | $223.87 | $630.96 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $95.50 Typical High $323.59 | Professional | 26 · Professional part | $54.95 | $95.50 | $323.59 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $131.83 Typical High $302.00 | Professional | TC · Technical part | $48.98 | $131.83 | $302.00 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $309.03 Typical High $354.81 | Facility | None | $223.87 | $309.03 | $354.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $173.78 Median $309.03 Typical High $1,071.52 | Professional | None (both parts) | $173.78 | $309.03 | $1,071.52 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $158.49 Typical High $371.54 | Professional | 26 · Professional part | $70.79 | $158.49 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $151.36 Typical High $707.95 | Professional | TC · Technical part | $70.79 | $151.36 | $707.95 |
Midlands Setting Professional Modifier None Typical Low $239.88 Median $281.84 Typical High $302.00 | Professional | None | $239.88 | $281.84 | $302.00 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $141.25 Typical High $151.36 | Professional | 26 · Professional part | $123.03 | $141.25 | $151.36 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $141.25 Typical High $147.91 | Professional | TC · Technical part | $120.23 | $141.25 | $147.91 |
Midlands Setting Professional Modifier None (both parts) Typical Low $295.12 Median $302.00 Typical High $588.84 | Professional | None (both parts) | $295.12 | $302.00 | $588.84 |
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 $125.89 Median $218.78 Typical High $323.59 | Professional | None (both parts) | $125.89 | $218.78 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $97.72 Typical High $169.82 | Professional | 26 · Professional part | $63.10 | $97.72 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $120.23 Typical High $162.18 | Professional | TC · Technical part | $61.66 | $120.23 | $162.18 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $263.03 | Professional | None (both parts) | $223.87 | $223.87 | $263.03 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $128.82 | Professional | 26 · Professional part | $109.65 | $109.65 | $128.82 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $131.83 | Professional | TC · Technical part | $112.20 | $112.20 | $131.83 |
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 $54.95 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $54.95 | $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 4.6 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· 3rd of 51
$263
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.