How much rates vary
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 $416.87 Median $707.95 Typical High $812.83 | Facility | None | $416.87 | $707.95 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $416.87 Typical High $478.63 | Professional | None (both parts) | $316.23 | $416.87 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $72.44 | Professional | 26 · Professional part | $52.48 | $69.18 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $346.74 Typical High $416.87 | Professional | TC · Technical part | $269.15 | $346.74 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $776.25 Typical High $954.99 | Professional | None (both parts) | $630.96 | $776.25 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $131.83 Typical High $147.91 | Professional | 26 · Professional part | $97.72 | $131.83 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $645.65 Typical High $812.83 | Professional | TC · Technical part | $537.03 | $645.65 | $812.83 |
Hally Health Setting Professional Modifier None Typical Low $302.00 Median $354.81 Typical High $630.96 | Professional | None | $302.00 | $354.81 | $630.96 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $81.28 Typical High $125.89 | Professional | 26 · Professional part | $51.29 | $81.28 | $125.89 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $295.12 Typical High $478.63 | Professional | TC · Technical part | $208.93 | $295.12 | $478.63 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $812.83 Typical High $1,023.29 | Facility | None | $263.03 | $812.83 | $1,023.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $295.12 Median $758.58 Typical High $2,238.72 | Professional | None (both parts) | $295.12 | $758.58 | $2,238.72 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $147.91 Typical High $776.25 | Professional | 26 · Professional part | $72.44 | $147.91 | $776.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $660.69 Typical High $1,862.09 | Professional | TC · Technical part | $275.42 | $660.69 | $1,862.09 |
Midlands Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $933.25 | Professional | None | $776.25 | $776.25 | $933.25 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $147.91 | Professional | 26 · Professional part | $131.83 | $131.83 | $147.91 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $645.65 Typical High $776.25 | Professional | TC · Technical part | $645.65 | $645.65 | $776.25 |
Midlands Setting Professional Modifier None (both parts) Typical Low $630.96 Median $676.08 Typical High $912.01 | Professional | None (both parts) | $630.96 | $676.08 | $912.01 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $66.07 Median $380.19 Typical High $758.58 | Professional | None (both parts) | $66.07 | $380.19 | $758.58 |
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 $309.03 Median $549.54 Typical High $851.14 | Professional | None (both parts) | $309.03 | $549.54 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $104.71 Typical High $158.49 | Professional | 26 · Professional part | $61.66 | $104.71 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $467.74 Typical High $691.83 | Professional | TC · Technical part | $239.88 | $467.74 | $691.83 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $891.25 | Professional | None (both parts) | $758.58 | $758.58 | $891.25 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $138.04 | Professional | 26 · Professional part | $117.49 | $117.49 | $138.04 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $645.65 Typical High $758.58 | Professional | TC · Technical part | $645.65 | $645.65 | $758.58 |
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 $158.49 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $158.49 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $64.57 | $83.18 | $83.18 |
Where Iowa sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 3rd of 51
$708
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.