How much rates vary
Facilitymedian $204 · 10th to 90th $55 to $646Professionalmedian $52 · 10th to 90th $19 to $78
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 $32.36 Median $56.23 Typical High $64.57 | Facility | None | $32.36 | $56.23 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $32.36 Typical High $57.54 | Professional | None (both parts) | $26.92 | $32.36 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.00 Typical High $16.98 | Professional | 26 · Professional part | $7.94 | $10.00 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.91 Typical High $42.66 | Professional | TC · Technical part | $18.62 | $22.91 | $42.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $69.18 Typical High $79.43 | Professional | None (both parts) | $44.67 | $69.18 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $19.05 Typical High $20.89 | Professional | 26 · Professional part | $12.02 | $19.05 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $50.12 Typical High $58.88 | Professional | TC · Technical part | $34.67 | $50.12 | $58.88 |
Hally Health Setting Professional Modifier None Typical Low $24.55 Median $43.65 Typical High $107.15 | Professional | None | $24.55 | $43.65 | $107.15 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $12.30 Typical High $28.84 | Professional | 26 · Professional part | $7.59 | $12.30 | $28.84 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $30.90 Typical High $70.79 | Professional | TC · Technical part | $16.98 | $30.90 | $70.79 |
Medica Setting Facility Modifier None Typical Low $58.88 Median $75.86 Typical High $380.19 | Facility | None | $58.88 | $75.86 | $380.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $44.67 Median $67.61 Typical High $398.11 | Professional | None (both parts) | $44.67 | $67.61 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $19.95 Typical High $131.83 | Professional | 26 · Professional part | $9.55 | $19.95 | $131.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $60.26 Typical High $134.90 | Professional | TC · Technical part | $28.18 | $60.26 | $134.90 |
Midlands Setting Professional Modifier None Typical Low $58.88 Median $69.18 Typical High $72.44 | Professional | None | $58.88 | $69.18 | $72.44 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.05 Typical High $20.89 | Professional | 26 · Professional part | $16.22 | $19.05 | $20.89 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $50.12 Typical High $50.12 | Professional | TC · Technical part | $42.66 | $50.12 | $50.12 |
Midlands Setting Professional Modifier None (both parts) Typical Low $66.07 Median $72.44 Typical High $114.82 | Professional | None (both parts) | $66.07 | $72.44 | $114.82 |
Oscar Health Setting Facility Modifier None Typical Low $208.93 Median $489.78 Typical High $724.44 | Facility | None | $208.93 | $489.78 | $724.44 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $9.33 Median $30.20 Typical High $60.26 | Professional | None (both parts) | $9.33 | $30.20 | $60.26 |
United Setting Facility Modifier None Typical Low $323.59 Median $537.03 Typical High $676.08 | Facility | None | $323.59 | $537.03 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $52.48 Typical High $89.13 | Professional | None (both parts) | $35.48 | $52.48 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $13.18 Typical High $22.39 | Professional | 26 · Professional part | $9.12 | $13.18 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $39.81 Typical High $67.61 | Professional | TC · Technical part | $26.30 | $39.81 | $67.61 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $64.57 | Professional | None (both parts) | $54.95 | $54.95 | $64.57 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $18.20 | Professional | 26 · Professional part | $15.14 | $15.14 | $18.20 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $45.71 | Professional | TC · Technical part | $38.90 | $38.90 | $45.71 |
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 $13.18 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $13.18 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $5.13 | $6.61 | $6.61 |
Where Iowa sits
The same service costs 2.5 times more in Minnesota than in Texas. 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
$52.48
MN $67.61TX $26.92
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.