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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $102.33 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $47.86 | $61.66 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $72.44 Typical High $81.28 | Professional | TC · Technical part | $54.95 | $72.44 | $81.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $234.42 Typical High $309.03 | Professional | None (both parts) | $199.53 | $234.42 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $120.23 Typical High $138.04 | Professional | 26 · Professional part | $87.10 | $120.23 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $117.49 Typical High $173.78 | Professional | TC · Technical part | $112.20 | $117.49 | $173.78 |
Hally Health Setting Professional Modifier None Typical Low $97.72 Median $147.91 Typical High $257.04 | Professional | None | $97.72 | $147.91 | $257.04 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $74.13 Typical High $114.82 | Professional | 26 · Professional part | $45.71 | $74.13 | $114.82 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $60.26 Typical High $128.82 | Professional | TC · Technical part | $51.29 | $60.26 | $128.82 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $275.42 Typical High $338.84 | Facility | None | $162.18 | $275.42 | $338.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $125.89 Median $239.88 Typical High $794.33 | Professional | None (both parts) | $125.89 | $239.88 | $794.33 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $134.90 Typical High $371.54 | Professional | 26 · Professional part | $66.07 | $134.90 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $154.88 Typical High $478.63 | Professional | TC · Technical part | $61.66 | $154.88 | $478.63 |
Midlands Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $309.03 | Professional | None | $234.42 | $234.42 | $309.03 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $138.04 | Professional | 26 · Professional part | $120.23 | $120.23 | $138.04 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $173.78 | Professional | TC · Technical part | $117.49 | $117.49 | $173.78 |
Midlands Setting Professional Modifier None (both parts) Typical Low $186.21 Median $239.88 Typical High $323.59 | Professional | None (both parts) | $186.21 | $239.88 | $323.59 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $120.23 Typical High $239.88 | Professional | None (both parts) | $57.54 | $120.23 | $239.88 |
United Setting Facility Modifier None Typical Low $199.53 Median $331.13 Typical High $416.87 | Facility | None | $199.53 | $331.13 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $194.98 Typical High $316.23 | Professional | None (both parts) | $114.82 | $194.98 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $93.33 Typical High $144.54 | Professional | 26 · Professional part | $56.23 | $93.33 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $100.00 Typical High $173.78 | Professional | TC · Technical part | $52.48 | $100.00 | $173.78 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $281.84 | Professional | None (both parts) | $239.88 | $239.88 | $281.84 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | 26 · Professional part | $102.33 | $102.33 | $120.23 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $158.49 | Professional | TC · Technical part | $134.90 | $134.90 | $158.49 |
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 $51.29 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $51.29 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $20.42 | $26.92 | $26.92 |
Where Iowa sits
The same service costs 3.9 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· 6th of 51
$229
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.