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 $158.49 Median $269.15 Typical High $309.03 | Facility | None | $158.49 | $269.15 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $158.49 Typical High $295.12 | Professional | None (both parts) | $120.23 | $158.49 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $27.54 Typical High $47.86 | Professional | 26 · Professional part | $15.14 | $27.54 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $128.82 Typical High $245.47 | Professional | TC · Technical part | $100.00 | $128.82 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $288.40 Typical High $398.11 | Professional | None (both parts) | $162.18 | $288.40 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $56.23 Typical High $57.54 | Professional | 26 · Professional part | $22.91 | $56.23 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $229.09 Typical High $338.84 | Professional | TC · Technical part | $138.04 | $229.09 | $338.84 |
Hally Health Setting Professional Modifier None Typical Low $125.89 Median $234.42 Typical High $478.63 | Professional | None | $125.89 | $234.42 | $478.63 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.91 Typical High $77.62 | Professional | 26 · Professional part | $20.89 | $22.91 | $77.62 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $199.53 Typical High $398.11 | Professional | TC · Technical part | $104.71 | $199.53 | $398.11 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $288.40 Typical High $398.11 | Facility | None | $208.93 | $288.40 | $398.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $199.53 Median $275.42 Typical High $1,202.26 | Professional | None (both parts) | $199.53 | $275.42 | $1,202.26 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $53.70 Typical High $199.53 | Professional | 26 · Professional part | $19.50 | $53.70 | $199.53 |
Medica Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $316.23 Typical High $1,122.02 | Professional | TC · Technical part | $154.88 | $316.23 | $1,122.02 |
Midlands Setting Professional Modifier None Typical Low $251.19 Median $288.40 Typical High $407.38 | Professional | None | $251.19 | $288.40 | $407.38 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $64.57 | Professional | 26 · Professional part | $47.86 | $56.23 | $64.57 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $229.09 Typical High $338.84 | Professional | TC · Technical part | $208.93 | $229.09 | $338.84 |
Midlands Setting Professional Modifier None (both parts) Typical Low $257.04 Median $316.23 Typical High $407.38 | Professional | None (both parts) | $257.04 | $316.23 | $407.38 |
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 $158.49 Median $234.42 Typical High $398.11 | Professional | None (both parts) | $158.49 | $234.42 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $34.67 Typical High $63.10 | Professional | 26 · Professional part | $18.20 | $34.67 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $213.80 Typical High $346.74 | Professional | TC · Technical part | $131.83 | $213.80 | $346.74 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $309.03 | Professional | None (both parts) | $263.03 | $263.03 | $309.03 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $47.86 | Professional | 26 · Professional part | $40.74 | $40.74 | $47.86 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $263.03 | Professional | TC · Technical part | $223.87 | $223.87 | $263.03 |
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 $60.26 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $60.26 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $23.99 | $31.62 | $31.62 |
Where Iowa sits
The same service costs 3.7 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· 6th of 51
$275
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.