How much rates vary
Facilitymedian $105 · 10th to 90th $51 to $398Professionalmedian $78 · 10th to 90th $26 to $107
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 $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $40.74 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.14 Typical High $15.14 | Professional | 26 · Professional part | $12.02 | $15.14 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $38.02 Typical High $38.02 | Professional | TC · Technical part | $29.51 | $38.02 | $38.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $95.50 Typical High $107.15 | Professional | None (both parts) | $66.07 | $95.50 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $28.84 Typical High $30.90 | Professional | 26 · Professional part | $18.20 | $28.84 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $66.07 Typical High $74.13 | Professional | TC · Technical part | $44.67 | $66.07 | $74.13 |
Hally Health Setting Professional Modifier None Typical Low $38.90 Median $56.23 Typical High $123.03 | Professional | None | $38.90 | $56.23 | $123.03 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.79 Typical High $38.02 | Professional | 26 · Professional part | $11.22 | $14.79 | $38.02 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $36.31 Typical High $79.43 | Professional | TC · Technical part | $27.54 | $36.31 | $79.43 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $102.33 Typical High $389.05 | Facility | None | $51.29 | $102.33 | $389.05 |
Medica Setting Professional Modifier None (both parts) Typical Low $52.48 Median $93.33 Typical High $251.19 | Professional | None (both parts) | $52.48 | $93.33 | $251.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $29.51 Typical High $75.86 | Professional | 26 · Professional part | $14.45 | $29.51 | $75.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $58.88 Typical High $173.78 | Professional | TC · Technical part | $32.36 | $58.88 | $173.78 |
Midlands Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $107.15 | Professional | None | $81.28 | $95.50 | $107.15 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $31.62 | Professional | 26 · Professional part | $24.55 | $28.84 | $31.62 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $66.07 Typical High $74.13 | Professional | TC · Technical part | $56.23 | $66.07 | $74.13 |
Midlands Setting Professional Modifier None (both parts) Typical Low $77.62 Median $107.15 Typical High $120.23 | Professional | None (both parts) | $77.62 | $107.15 | $120.23 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $13.80 Median $48.98 Typical High $95.50 | Professional | None (both parts) | $13.80 | $48.98 | $95.50 |
United Setting Facility Modifier None Typical Low $190.55 Median $323.59 Typical High $407.38 | Facility | None | $190.55 | $323.59 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $61.66 Typical High $104.71 | Professional | None (both parts) | $41.69 | $61.66 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.95 Typical High $33.88 | Professional | 26 · Professional part | $13.80 | $19.95 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $42.66 Typical High $70.79 | Professional | TC · Technical part | $28.18 | $42.66 | $70.79 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $104.71 | Professional | None (both parts) | $87.10 | $87.10 | $104.71 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $26.30 | Professional | 26 · Professional part | $22.39 | $22.39 | $26.30 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $77.62 | Professional | TC · Technical part | $66.07 | $66.07 | $77.62 |
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 $20.42 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $20.42 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $8.13 | $10.72 | $10.72 |
Where Iowa sits
The same service costs 2.9 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· 5th of 51
$79.43
AK $89.13UT $30.90
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.