How much rates vary
Facilitymedian $355 · 10th to 90th $78 to $2,138Professionalmedian $79 · 10th to 90th $23 to $126
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 $46.77 Median $77.62 Typical High $93.33 | Facility | None | $46.77 | $77.62 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $46.77 Typical High $87.10 | Professional | None (both parts) | $38.90 | $46.77 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.59 Typical High $23.44 | Professional | 26 · Professional part | $10.00 | $12.59 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.88 Typical High $64.57 | Professional | TC · Technical part | $28.18 | $33.88 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $107.15 Typical High $123.03 | Professional | None (both parts) | $74.13 | $107.15 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $23.99 Typical High $31.62 | Professional | 26 · Professional part | $16.98 | $23.99 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $85.11 Typical High $91.20 | Professional | TC · Technical part | $54.95 | $85.11 | $91.20 |
Hally Health Setting Professional Modifier None Typical Low $35.48 Median $72.44 Typical High $151.36 | Professional | None | $35.48 | $72.44 | $151.36 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $22.39 Typical High $39.81 | Professional | 26 · Professional part | $9.33 | $22.39 | $39.81 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $50.12 Typical High $112.20 | Professional | TC · Technical part | $24.55 | $50.12 | $112.20 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $125.89 Typical High $691.83 | Facility | None | $91.20 | $125.89 | $691.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $75.86 Median $104.71 Typical High $630.96 | Professional | None (both parts) | $75.86 | $104.71 | $630.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $31.62 Typical High $223.87 | Professional | 26 · Professional part | $15.49 | $31.62 | $223.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $102.33 Typical High $257.04 | Professional | TC · Technical part | $48.98 | $102.33 | $257.04 |
Midlands Setting Professional Modifier None Typical Low $91.20 Median $107.15 Typical High $107.15 | Professional | None | $91.20 | $107.15 | $107.15 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.99 Typical High $26.30 | Professional | 26 · Professional part | $20.42 | $23.99 | $26.30 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $70.79 | $85.11 | $85.11 |
Midlands Setting Professional Modifier None (both parts) Typical Low $95.50 Median $107.15 Typical High $190.55 | Professional | None (both parts) | $95.50 | $107.15 | $190.55 |
Oscar Health Setting Facility Modifier None Typical Low $354.81 Median $1,905.46 Typical High $2,754.23 | Facility | None | $354.81 | $1,905.46 | $2,754.23 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $11.75 Median $43.65 Typical High $87.10 | Professional | None (both parts) | $11.75 | $43.65 | $87.10 |
United Setting Facility Modifier None Typical Low $562.34 Median $933.25 Typical High $1,174.90 | Facility | None | $562.34 | $933.25 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $87.10 Typical High $147.91 | Professional | None (both parts) | $58.88 | $87.10 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $20.42 Typical High $34.67 | Professional | 26 · Professional part | $13.49 | $20.42 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $67.61 Typical High $114.82 | Professional | TC · Technical part | $44.67 | $67.61 | $114.82 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $93.33 | Professional | None (both parts) | $79.43 | $79.43 | $93.33 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $22.39 | Professional | 26 · Professional part | $19.05 | $19.05 | $22.39 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $70.79 | Professional | TC · Technical part | $60.26 | $60.26 | $70.79 |
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 $18.20 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $18.20 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $7.24 | $9.33 | $9.33 |
Where Iowa sits
The same service costs 3.3 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.
Iowa· 7th of 51
$79.43
MN $105UT $31.62
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.