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 $457.09 Median $794.33 Typical High $912.01 | Facility | None | $457.09 | $794.33 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $457.09 Typical High $588.84 | Professional | None (both parts) | $354.81 | $457.09 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $91.20 | Professional | 26 · Professional part | $52.48 | $69.18 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $389.05 Typical High $489.78 | Professional | TC · Technical part | $295.12 | $389.05 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $707.95 Median $794.33 Typical High $1,047.13 | Professional | None (both parts) | $707.95 | $794.33 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $128.82 Typical High $147.91 | Professional | 26 · Professional part | $97.72 | $128.82 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $660.69 Typical High $891.25 | Professional | TC · Technical part | $602.56 | $660.69 | $891.25 |
Hally Health Setting Professional Modifier None Typical Low $295.12 Median $363.08 Typical High $549.54 | Professional | None | $295.12 | $363.08 | $549.54 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $81.28 Typical High $147.91 | Professional | 26 · Professional part | $51.29 | $81.28 | $147.91 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $302.00 Typical High $426.58 | Professional | TC · Technical part | $190.55 | $302.00 | $426.58 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $812.83 Typical High $1,000.00 | Facility | None | $239.88 | $812.83 | $1,000.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $263.03 Median $776.25 Typical High $2,454.71 | Professional | None (both parts) | $263.03 | $776.25 | $2,454.71 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $138.04 Typical High $354.81 | Professional | 26 · Professional part | $72.44 | $138.04 | $354.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $691.83 Typical High $2,089.30 | Professional | TC · Technical part | $309.03 | $691.83 | $2,089.30 |
Midlands Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,047.13 | Professional | None | $794.33 | $794.33 | $1,047.13 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $147.91 | Professional | 26 · Professional part | $128.82 | $128.82 | $147.91 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $660.69 Typical High $891.25 | Professional | TC · Technical part | $660.69 | $660.69 | $891.25 |
Midlands Setting Professional Modifier None (both parts) Typical Low $616.60 Median $691.83 Typical High $1,000.00 | Professional | None (both parts) | $616.60 | $691.83 | $1,000.00 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $416.87 Typical High $831.76 | Professional | None (both parts) | $63.10 | $416.87 | $831.76 |
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 $295.12 Median $575.44 Typical High $954.99 | Professional | None (both parts) | $295.12 | $575.44 | $954.99 |
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 $213.80 Median $457.09 Typical High $794.33 | Professional | TC · Technical part | $213.80 | $457.09 | $794.33 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $831.76 Median $831.76 Typical High $977.24 | Professional | None (both parts) | $831.76 | $831.76 | $977.24 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $131.83 | Professional | 26 · Professional part | $112.20 | $112.20 | $131.83 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $707.95 Typical High $831.76 | Professional | TC · Technical part | $707.95 | $707.95 | $831.76 |
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 $177.83 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $177.83 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $93.33 Typical High $93.33 | Professional | 53 · Discontinued | $70.79 | $93.33 | $93.33 |
Where Iowa sits
The same service costs 3.0 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
$776
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.