How much rates vary
Facilitymedian $324 · 10th to 90th $166 to $676Professionalmedian $282 · 10th to 90th $117 to $363
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 $162.18 Median $275.42 Typical High $316.23 | Facility | None | $162.18 | $275.42 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $162.18 Typical High $213.80 | Professional | None (both parts) | $128.82 | $162.18 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $95.50 Typical High $112.20 | Professional | 26 · Professional part | $74.13 | $95.50 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $64.57 Typical High $100.00 | Professional | TC · Technical part | $54.95 | $64.57 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $309.03 Typical High $346.74 | Professional | None (both parts) | $245.47 | $309.03 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $173.78 Typical High $204.17 | Professional | 26 · Professional part | $138.04 | $173.78 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $138.04 Typical High $147.91 | Professional | TC · Technical part | $107.15 | $138.04 | $147.91 |
Hally Health Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $549.54 | Professional | None | $117.49 | $158.49 | $549.54 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $97.72 Typical High $223.87 | Professional | 26 · Professional part | $72.44 | $97.72 | $223.87 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $66.07 Typical High $354.81 | Professional | TC · Technical part | $46.77 | $66.07 | $354.81 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $331.13 Typical High $758.58 | Facility | None | $165.96 | $331.13 | $758.58 |
Medica Setting Professional Modifier None (both parts) Typical Low $208.93 Median $331.13 Typical High $870.96 | Professional | None (both parts) | $208.93 | $331.13 | $870.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $199.53 Typical High $501.19 | Professional | 26 · Professional part | $104.71 | $199.53 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $147.91 Typical High $380.19 | Professional | TC · Technical part | $77.62 | $147.91 | $380.19 |
Midlands Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $346.74 | Professional | None | $309.03 | $309.03 | $346.74 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $204.17 | Professional | 26 · Professional part | $173.78 | $173.78 | $204.17 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $147.91 | Professional | TC · Technical part | $138.04 | $138.04 | $147.91 |
Midlands Setting Professional Modifier None (both parts) Typical Low $295.12 Median $338.84 Typical High $524.81 | Professional | None (both parts) | $295.12 | $338.84 | $524.81 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $144.54 Typical High $281.84 | Professional | None (both parts) | $67.61 | $144.54 | $281.84 |
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 $158.49 Median $257.04 Typical High $389.05 | Professional | None (both parts) | $158.49 | $257.04 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $144.54 Typical High $223.87 | Professional | 26 · Professional part | $91.20 | $144.54 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $109.65 Typical High $165.96 | Professional | TC · Technical part | $67.61 | $109.65 | $165.96 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $331.13 | Professional | None (both parts) | $281.84 | $281.84 | $331.13 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $190.55 | Professional | 26 · Professional part | $158.49 | $158.49 | $190.55 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $144.54 | Professional | TC · Technical part | $123.03 | $123.03 | $144.54 |
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 $63.10 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $63.10 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $25.12 | $32.36 | $32.36 |
Where Iowa sits
The same service costs 4.0 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
$282
AK $339TX $85.11
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.