How much rates vary
Facilitymedian $851 · 10th to 90th $282 to $1,122Professionalmedian $871 · 10th to 90th $316 to $1,122
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 $537.03 Median $933.25 Typical High $1,071.52 | Facility | None | $537.03 | $933.25 | $1,071.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $537.03 Typical High $707.95 | Professional | None (both parts) | $398.11 | $537.03 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $100.00 | Professional | 26 · Professional part | $52.48 | $69.18 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $467.74 Typical High $602.56 | Professional | TC · Technical part | $338.84 | $467.74 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $912.01 Typical High $1,202.26 | Professional | None (both parts) | $831.76 | $912.01 | $1,202.26 |
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 $724.44 Median $776.25 Typical High $1,047.13 | Professional | TC · Technical part | $724.44 | $776.25 | $1,047.13 |
Hally Health Setting Professional Modifier None Typical Low $251.19 Median $416.87 Typical High $616.60 | Professional | None | $251.19 | $416.87 | $616.60 |
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 $147.91 Median $338.84 Typical High $524.81 | Professional | TC · Technical part | $147.91 | $338.84 | $524.81 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $933.25 Typical High $1,122.02 | Facility | None | $257.04 | $933.25 | $1,122.02 |
Medica Setting Professional Modifier None (both parts) Typical Low $316.23 Median $870.96 Typical High $2,884.03 | Professional | None (both parts) | $316.23 | $870.96 | $2,884.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $151.36 Typical High $354.81 | Professional | 26 · Professional part | $72.44 | $151.36 | $354.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $831.76 Typical High $2,511.89 | Professional | TC · Technical part | $380.19 | $831.76 | $2,511.89 |
Midlands Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,202.26 | Professional | None | $912.01 | $912.01 | $1,202.26 |
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 $776.25 Median $776.25 Typical High $1,047.13 | Professional | TC · Technical part | $776.25 | $776.25 | $1,047.13 |
Midlands Setting Professional Modifier None (both parts) Typical Low $562.34 Median $794.33 Typical High $1,174.90 | Professional | None (both parts) | $562.34 | $794.33 | $1,174.90 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $478.63 Typical High $954.99 | Professional | None (both parts) | $63.10 | $478.63 | $954.99 |
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 $316.23 Median $676.08 Typical High $1,122.02 | Professional | None (both parts) | $316.23 | $676.08 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $104.71 Typical High $158.49 | Professional | 26 · Professional part | $63.10 | $104.71 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $549.54 Typical High $954.99 | Professional | TC · Technical part | $234.42 | $549.54 | $954.99 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $954.99 Median $954.99 Typical High $1,122.02 | Professional | None (both parts) | $954.99 | $954.99 | $1,122.02 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $134.90 | Professional | 26 · Professional part | $112.20 | $112.20 | $134.90 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $851.14 Typical High $1,000.00 | Professional | TC · Technical part | $851.14 | $851.14 | $1,000.00 |
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 $208.93 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $208.93 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $83.18 | $107.15 | $107.15 |
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
$871
AK $933NM $309
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.