How much rates vary
Facilitymedian $151 · 10th to 90th $112 to $955Professionalmedian $117 · 10th to 90th $51 to $170
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 $75.86 Median $131.83 Typical High $151.36 | Facility | None | $75.86 | $131.83 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $75.86 Typical High $125.89 | Professional | None (both parts) | $60.26 | $75.86 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.88 Typical High $47.86 | Professional | 26 · Professional part | $26.92 | $33.88 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $42.66 Typical High $74.13 | Professional | TC · Technical part | $33.11 | $42.66 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $141.25 Typical High $165.96 | Professional | None (both parts) | $97.72 | $141.25 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $66.07 Typical High $74.13 | Professional | 26 · Professional part | $41.69 | $66.07 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $74.13 Typical High $91.20 | Professional | TC · Technical part | $53.70 | $74.13 | $91.20 |
Hally Health Setting Professional Modifier None Typical Low $56.23 Median $79.43 Typical High $251.19 | Professional | None | $56.23 | $79.43 | $251.19 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $43.65 Typical High $97.72 | Professional | 26 · Professional part | $25.12 | $43.65 | $97.72 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $40.74 Typical High $151.36 | Professional | TC · Technical part | $30.90 | $40.74 | $151.36 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $151.36 Typical High $758.58 | Facility | None | $112.20 | $151.36 | $758.58 |
Medica Setting Professional Modifier None (both parts) Typical Low $79.43 Median $138.04 Typical High $724.44 | Professional | None (both parts) | $79.43 | $138.04 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $69.18 Typical High $331.13 | Professional | 26 · Professional part | $33.88 | $69.18 | $331.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $69.18 Typical High $562.34 | Professional | TC · Technical part | $32.36 | $69.18 | $562.34 |
Midlands Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $158.49 | Professional | None | $120.23 | $141.25 | $158.49 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $72.44 | Professional | 26 · Professional part | $56.23 | $66.07 | $72.44 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $74.13 Typical High $87.10 | Professional | TC · Technical part | $63.10 | $74.13 | $87.10 |
Midlands Setting Professional Modifier None (both parts) Typical Low $117.49 Median $165.96 Typical High $204.17 | Professional | None (both parts) | $117.49 | $165.96 | $204.17 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $32.36 Median $69.18 Typical High $141.25 | Professional | None (both parts) | $32.36 | $69.18 | $141.25 |
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 $61.66 Median $89.13 Typical High $151.36 | Professional | None (both parts) | $61.66 | $89.13 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $44.67 Typical High $75.86 | Professional | 26 · Professional part | $30.90 | $44.67 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $44.67 Typical High $77.62 | Professional | TC · Technical part | $30.90 | $44.67 | $77.62 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $151.36 | Professional | None (both parts) | $128.82 | $128.82 | $151.36 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $61.66 | Professional | 26 · Professional part | $52.48 | $52.48 | $61.66 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $89.13 | Professional | TC · Technical part | $75.86 | $75.86 | $89.13 |
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 $29.51 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $29.51 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $11.75 | $15.49 | $15.49 |
Where Iowa sits
The same service costs 3.6 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· 5th of 51
$120
MN $141TX $38.90
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.