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 $288.40 Median $575.44 Typical High $575.44 | Facility | None | $288.40 | $575.44 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $288.40 Typical High $501.19 | Professional | None (both parts) | $245.47 | $288.40 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $75.86 | Professional | 26 · Professional part | $36.31 | $44.67 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $245.47 Typical High $426.58 | Professional | TC · Technical part | $204.17 | $245.47 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $616.60 Typical High $645.65 | Professional | None (both parts) | $295.12 | $616.60 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $89.13 Typical High $97.72 | Professional | 26 · Professional part | $44.67 | $89.13 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $524.81 Typical High $549.54 | Professional | TC · Technical part | $251.19 | $524.81 | $549.54 |
Hally Health Setting Professional Modifier None Typical Low $239.88 Median $363.08 Typical High $933.25 | Professional | None | $239.88 | $363.08 | $933.25 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $53.70 Typical High $125.89 | Professional | 26 · Professional part | $37.15 | $53.70 | $125.89 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $269.15 Typical High $707.95 | Professional | TC · Technical part | $204.17 | $269.15 | $707.95 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $457.09 Typical High $660.69 | Facility | None | $323.59 | $457.09 | $660.69 |
Medica Setting Professional Modifier None (both parts) Typical Low $316.23 Median $602.56 Typical High $1,621.81 | Professional | None (both parts) | $316.23 | $602.56 | $1,621.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $89.13 Typical High $234.42 | Professional | 26 · Professional part | $43.65 | $89.13 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $512.86 Typical High $1,380.38 | Professional | TC · Technical part | $245.47 | $512.86 | $1,380.38 |
Midlands Setting Professional Modifier None Typical Low $524.81 Median $616.60 Typical High $645.65 | Professional | None | $524.81 | $616.60 | $645.65 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $89.13 Typical High $97.72 | Professional | 26 · Professional part | $77.62 | $89.13 | $97.72 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $524.81 Typical High $549.54 | Professional | TC · Technical part | $446.68 | $524.81 | $549.54 |
Midlands Setting Professional Modifier None (both parts) Typical Low $602.56 Median $645.65 Typical High $1,000.00 | Professional | None (both parts) | $602.56 | $645.65 | $1,000.00 |
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 $269.15 Median $398.11 Typical High $691.83 | Professional | None (both parts) | $269.15 | $398.11 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $58.88 Typical High $104.71 | Professional | 26 · Professional part | $39.81 | $58.88 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $338.84 Typical High $588.84 | Professional | TC · Technical part | $234.42 | $338.84 | $588.84 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $537.03 | Professional | None (both parts) | $457.09 | $457.09 | $537.03 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $79.43 | Professional | 26 · Professional part | $67.61 | $67.61 | $79.43 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $389.05 Typical High $457.09 | Professional | TC · Technical part | $389.05 | $389.05 | $457.09 |
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 $117.49 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $117.49 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $47.86 | $58.88 | $58.88 |
Where Iowa sits
The same service costs 3.1 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· 2nd of 51
$537
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.