How much rates vary
Facilitymedian $135 · 10th to 90th $89 to $191Professionalmedian $117 · 10th to 90th $43 to $174
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 $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $63.10 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.30 Typical High $26.30 | Professional | 26 · Professional part | $21.38 | $26.30 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $52.48 Typical High $52.48 | Professional | TC · Technical part | $42.66 | $52.48 | $52.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $102.33 | $169.82 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $32.36 | $54.95 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $117.49 Typical High $120.23 | Professional | TC · Technical part | $69.18 | $117.49 | $120.23 |
Hally Health Setting Professional Modifier None Typical Low $61.66 Median $85.11 Typical High $245.47 | Professional | None | $61.66 | $85.11 | $245.47 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $28.18 Typical High $74.13 | Professional | 26 · Professional part | $20.89 | $28.18 | $74.13 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $56.23 Typical High $158.49 | Professional | TC · Technical part | $40.74 | $56.23 | $158.49 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $144.54 Typical High $190.55 | Facility | None | $109.65 | $144.54 | $190.55 |
Medica Setting Professional Modifier None (both parts) Typical Low $95.50 Median $165.96 Typical High $436.52 | Professional | None (both parts) | $95.50 | $165.96 | $436.52 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $53.70 Typical High $141.25 | Professional | 26 · Professional part | $26.92 | $53.70 | $141.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $112.20 Typical High $295.12 | Professional | TC · Technical part | $57.54 | $112.20 | $295.12 |
Midlands Setting Professional Modifier None Typical Low $144.54 Median $169.82 Typical High $169.82 | Professional | None | $144.54 | $169.82 | $169.82 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $46.77 | $54.95 | $54.95 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $97.72 | $117.49 | $117.49 |
Midlands Setting Professional Modifier None (both parts) Typical Low $162.18 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $162.18 | $194.98 | $194.98 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $23.44 Median $69.18 Typical High $134.90 | Professional | None (both parts) | $23.44 | $69.18 | $134.90 |
United Setting Facility Modifier None Typical Low $89.13 Median $147.91 Typical High $186.21 | Facility | None | $89.13 | $147.91 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $114.82 Typical High $194.98 | Professional | None (both parts) | $77.62 | $114.82 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $37.15 Typical High $63.10 | Professional | 26 · Professional part | $25.12 | $37.15 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $77.62 Typical High $131.83 | Professional | TC · Technical part | $53.70 | $77.62 | $131.83 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $144.54 | Professional | None (both parts) | $123.03 | $123.03 | $144.54 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $45.71 | Professional | 26 · Professional part | $38.90 | $38.90 | $45.71 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $97.72 | Professional | TC · Technical part | $83.18 | $83.18 | $97.72 |
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 $31.62 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $31.62 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $12.59 | $15.85 | $15.85 |
Where Iowa sits
The same service costs 4.9 times more in Nebraska 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
$120
NE $155UT $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.