How much rates vary
Facilitymedian $4,266 · 10th to 90th $1,950 to $5,248Professionalmedian $3,890 · 10th to 90th $1,549 to $4,898
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 $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $2,089.30 Typical High $2,089.30 | Professional | None (both parts) | $1,659.59 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $398.11 Typical High $398.11 | Professional | 26 · Professional part | $302.00 | $398.11 | $398.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,698.24 Typical High $1,698.24 | Professional | TC · Technical part | $1,318.26 | $1,698.24 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $4,073.80 Typical High $4,897.79 | Professional | None (both parts) | $3,162.28 | $4,073.80 | $4,897.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $602.56 Median $758.58 Typical High $891.25 | Professional | 26 · Professional part | $602.56 | $758.58 | $891.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2,630.27 Median $3,388.44 Typical High $3,981.07 | Professional | TC · Technical part | $2,630.27 | $3,388.44 | $3,981.07 |
Hally Health Setting Professional Modifier None Typical Low $1,513.56 Median $2,187.76 Typical High $6,025.60 | Professional | None | $1,513.56 | $2,187.76 | $6,025.60 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $467.74 Typical High $912.01 | Professional | 26 · Professional part | $302.00 | $467.74 | $912.01 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,659.59 Typical High $4,897.79 | Professional | TC · Technical part | $1,202.26 | $1,659.59 | $4,897.79 |
Medica Setting Facility Modifier None Typical Low $1,949.84 Median $4,365.16 Typical High $5,248.07 | Facility | None | $1,949.84 | $4,365.16 | $5,248.07 |
Medica Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $3,981.07 Typical High $11,748.98 | Professional | None (both parts) | $2,137.96 | $3,981.07 | $11,748.98 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $851.14 Typical High $2,041.74 | Professional | 26 · Professional part | $416.87 | $851.14 | $2,041.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $3,467.37 Typical High $9,549.93 | Professional | TC · Technical part | $1,548.82 | $3,467.37 | $9,549.93 |
Midlands Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,897.79 | Professional | None | $4,073.80 | $4,073.80 | $4,897.79 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $758.58 Median $758.58 Typical High $891.25 | Professional | 26 · Professional part | $758.58 | $758.58 | $891.25 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $3,388.44 Median $3,388.44 Typical High $3,981.07 | Professional | TC · Technical part | $3,388.44 | $3,388.44 | $3,981.07 |
Midlands Setting Professional Modifier None (both parts) Typical Low $3,235.94 Median $3,715.35 Typical High $5,011.87 | Professional | None (both parts) | $3,235.94 | $3,715.35 | $5,011.87 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $380.19 Median $1,995.26 Typical High $3,890.45 | Professional | None (both parts) | $380.19 | $1,995.26 | $3,890.45 |
United Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $2,951.21 Typical High $4,897.79 | Professional | None (both parts) | $1,737.80 | $2,951.21 | $4,897.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $588.84 Typical High $912.01 | Professional | 26 · Professional part | $363.08 | $588.84 | $912.01 |
United Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $2,398.83 Typical High $3,981.07 | Professional | TC · Technical part | $1,318.26 | $2,398.83 | $3,981.07 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $3,981.07 Median $3,981.07 Typical High $4,677.35 | Professional | None (both parts) | $3,981.07 | $3,981.07 | $4,677.35 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $676.08 Median $676.08 Typical High $794.33 | Professional | 26 · Professional part | $676.08 | $676.08 | $794.33 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $3,235.94 Median $3,235.94 Typical High $3,890.45 | Professional | TC · Technical part | $3,235.94 | $3,235.94 | $3,890.45 |
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 $794.33 Median $1,047.13 Typical High $1,047.13 | Professional | 52 · Reduced service | $794.33 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $416.87 Typical High $416.87 | Professional | 53 · Discontinued | $323.59 | $416.87 | $416.87 |
Where Iowa sits
The same service costs 3.2 times more in Alaska than in Texas. 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
$3,890
AK $4,467TX $1,413
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.