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 $151.36 Median $186.21 Typical High $186.21 | Facility | None | $151.36 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $186.21 Typical High $194.98 | Professional | None (both parts) | $144.54 | $186.21 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $75.86 | $97.72 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $89.13 Typical High $97.72 | Professional | TC · Technical part | $66.07 | $89.13 | $97.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $346.74 Typical High $416.87 | Professional | None (both parts) | $275.42 | $346.74 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $190.55 Typical High $213.80 | Professional | 26 · Professional part | $141.25 | $190.55 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $151.36 Typical High $208.93 | Professional | TC · Technical part | $138.04 | $151.36 | $208.93 |
Hally Health Setting Professional Modifier None Typical Low $138.04 Median $190.55 Typical High $1,023.29 | Professional | None | $138.04 | $190.55 | $1,023.29 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $120.23 Typical High $489.78 | Professional | 26 · Professional part | $74.13 | $120.23 | $489.78 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $70.79 Typical High $436.52 | Professional | TC · Technical part | $44.67 | $70.79 | $436.52 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $371.54 Typical High $426.58 | Facility | None | $218.78 | $371.54 | $426.58 |
Medica Setting Professional Modifier None (both parts) Typical Low $173.78 Median $346.74 Typical High $1,047.13 | Professional | None (both parts) | $173.78 | $346.74 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $213.80 Typical High $512.86 | Professional | 26 · Professional part | $104.71 | $213.80 | $512.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $204.17 Typical High $549.54 | Professional | TC · Technical part | $81.28 | $204.17 | $549.54 |
Midlands Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $436.52 | Professional | None | $346.74 | $346.74 | $436.52 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $218.78 | Professional | 26 · Professional part | $190.55 | $190.55 | $218.78 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $223.87 | Professional | TC · Technical part | $151.36 | $151.36 | $223.87 |
Midlands Setting Professional Modifier None (both parts) Typical Low $269.15 Median $338.84 Typical High $436.52 | Professional | None (both parts) | $269.15 | $338.84 | $436.52 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $162.18 Typical High $323.59 | Professional | None (both parts) | $81.28 | $162.18 | $323.59 |
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 $165.96 Median $281.84 Typical High $457.09 | Professional | None (both parts) | $165.96 | $281.84 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $151.36 Typical High $229.09 | Professional | 26 · Professional part | $89.13 | $151.36 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $131.83 Typical High $229.09 | Professional | TC · Technical part | $50.12 | $131.83 | $229.09 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $380.19 | Professional | None (both parts) | $323.59 | $323.59 | $380.19 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $190.55 | Professional | 26 · Professional part | $162.18 | $162.18 | $190.55 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $190.55 | Professional | TC · Technical part | $162.18 | $162.18 | $190.55 |
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 $72.44 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $72.44 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $28.84 | $37.15 | $37.15 |
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· 4th of 51
$324
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.