How much rates vary
Facilitymedian $275 · 10th to 90th $138 to $676Professionalmedian $234 · 10th to 90th $98 to $295
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 $229.09 Typical High $263.03 | Facility | None | $134.90 | $229.09 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $134.90 Typical High $199.53 | Professional | None (both parts) | $104.71 | $134.90 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $79.43 Typical High $109.65 | Professional | 26 · Professional part | $61.66 | $79.43 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $53.70 Typical High $91.20 | Professional | TC · Technical part | $44.67 | $53.70 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $263.03 Typical High $288.40 | Professional | None (both parts) | $204.17 | $263.03 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $144.54 Typical High $169.82 | Professional | 26 · Professional part | $114.82 | $144.54 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $114.82 Typical High $123.03 | Professional | TC · Technical part | $89.13 | $114.82 | $123.03 |
Hally Health Setting Professional Modifier None Typical Low $97.72 Median $134.90 Typical High $309.03 | Professional | None | $97.72 | $134.90 | $309.03 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $79.43 Typical High $190.55 | Professional | 26 · Professional part | $60.26 | $79.43 | $190.55 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $54.95 Typical High $169.82 | Professional | TC · Technical part | $38.90 | $54.95 | $169.82 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $275.42 Typical High $758.58 | Facility | None | $138.04 | $275.42 | $758.58 |
Medica Setting Professional Modifier None (both parts) Typical Low $173.78 Median $275.42 Typical High $724.44 | Professional | None (both parts) | $173.78 | $275.42 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $165.96 Typical High $416.87 | Professional | 26 · Professional part | $87.10 | $165.96 | $416.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $123.03 Typical High $316.23 | Professional | TC · Technical part | $64.57 | $123.03 | $316.23 |
Midlands Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $288.40 | Professional | None | $263.03 | $263.03 | $288.40 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $144.54 Typical High $169.82 | Professional | 26 · Professional part | $144.54 | $144.54 | $169.82 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $123.03 | Professional | TC · Technical part | $114.82 | $114.82 | $123.03 |
Midlands Setting Professional Modifier None (both parts) Typical Low $245.47 Median $281.84 Typical High $436.52 | Professional | None (both parts) | $245.47 | $281.84 | $436.52 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $120.23 Typical High $234.42 | Professional | None (both parts) | $56.23 | $120.23 | $234.42 |
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 $131.83 Median $213.80 Typical High $323.59 | Professional | None (both parts) | $131.83 | $213.80 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $123.03 Typical High $186.21 | Professional | 26 · Professional part | $75.86 | $123.03 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $91.20 Typical High $138.04 | Professional | TC · Technical part | $57.54 | $91.20 | $138.04 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $275.42 | Professional | None (both parts) | $234.42 | $234.42 | $275.42 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $158.49 | Professional | 26 · Professional part | $134.90 | $134.90 | $158.49 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | TC · Technical part | $102.33 | $102.33 | $120.23 |
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 $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $51.29 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $20.89 | $26.92 | $26.92 |
Where Iowa sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 5th of 51
$234
AK $275UT $72.44
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.