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 $295.12 Median $489.78 Typical High $501.19 | Facility | None | $295.12 | $489.78 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $295.12 Typical High $436.52 | Professional | None (both parts) | $229.09 | $295.12 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $190.55 Typical High $257.04 | Professional | 26 · Professional part | $147.91 | $190.55 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $181.97 | Professional | TC · Technical part | $89.13 | $104.71 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $588.84 Typical High $645.65 | Professional | None (both parts) | $436.52 | $588.84 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $346.74 Typical High $407.38 | Professional | 26 · Professional part | $275.42 | $346.74 | $407.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $234.42 Typical High $239.88 | Professional | TC · Technical part | $162.18 | $234.42 | $239.88 |
Hally Health Setting Professional Modifier None Typical Low $218.78 Median $295.12 Typical High $977.24 | Professional | None | $218.78 | $295.12 | $977.24 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $190.55 Typical High $489.78 | Professional | 26 · Professional part | $144.54 | $190.55 | $489.78 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $104.71 Typical High $602.56 | Professional | TC · Technical part | $74.13 | $104.71 | $602.56 |
Medica Setting Facility Modifier None Typical Low $309.03 Median $602.56 Typical High $1,288.25 | Facility | None | $309.03 | $602.56 | $1,288.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $380.19 Median $602.56 Typical High $1,584.89 | Professional | None (both parts) | $380.19 | $602.56 | $1,584.89 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $398.11 Typical High $977.24 | Professional | 26 · Professional part | $204.17 | $398.11 | $977.24 |
Medica Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $251.19 Typical High $616.60 | Professional | TC · Technical part | $128.82 | $251.19 | $616.60 |
Midlands Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $645.65 | Professional | None | $588.84 | $588.84 | $645.65 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $346.74 Typical High $407.38 | Professional | 26 · Professional part | $346.74 | $346.74 | $407.38 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $234.42 Typical High $245.47 | Professional | TC · Technical part | $229.09 | $234.42 | $245.47 |
Midlands Setting Professional Modifier None (both parts) Typical Low $457.09 Median $512.86 Typical High $977.24 | Professional | None (both parts) | $457.09 | $512.86 | $977.24 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $263.03 Typical High $512.86 | Professional | None (both parts) | $104.71 | $263.03 | $512.86 |
United Setting Facility Modifier None Typical Low $562.34 Median $933.25 Typical High $1,174.90 | Facility | None | $562.34 | $933.25 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $467.74 Typical High $707.95 | Professional | None (both parts) | $288.40 | $467.74 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $288.40 Typical High $436.52 | Professional | 26 · Professional part | $181.97 | $288.40 | $436.52 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $173.78 Typical High $263.03 | Professional | TC · Technical part | $107.15 | $173.78 | $263.03 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $602.56 | Professional | None (both parts) | $512.86 | $512.86 | $602.56 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $371.54 | Professional | 26 · Professional part | $316.23 | $316.23 | $371.54 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $229.09 | Professional | TC · Technical part | $194.98 | $194.98 | $229.09 |
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 $114.82 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $114.82 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $45.71 | $58.88 | $58.88 |
Where Iowa sits
The same service costs 3.3 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· 2nd of 51
$513
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.