How much rates vary
Facilitymedian $295 · 10th to 90th $155 to $457Professionalmedian $245 · 10th to 90th $89 to $331
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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $169.82 | Professional | None (both parts) | $114.82 | $141.25 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $41.69 | $54.95 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $87.10 Typical High $114.82 | Professional | TC · Technical part | $75.86 | $87.10 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $302.00 Typical High $354.81 | Professional | None (both parts) | $213.80 | $302.00 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $104.71 Typical High $117.49 | Professional | 26 · Professional part | $79.43 | $104.71 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $199.53 Typical High $218.78 | Professional | TC · Technical part | $134.90 | $199.53 | $218.78 |
Hally Health Setting Professional Modifier None Typical Low $104.71 Median $162.18 Typical High $446.68 | Professional | None | $104.71 | $162.18 | $446.68 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $66.07 Typical High $134.90 | Professional | 26 · Professional part | $40.74 | $66.07 | $134.90 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $91.20 Typical High $199.53 | Professional | TC · Technical part | $63.10 | $91.20 | $199.53 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $295.12 Typical High $467.74 | Facility | None | $154.88 | $295.12 | $467.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $181.97 Median $295.12 Typical High $954.99 | Professional | None (both parts) | $181.97 | $295.12 | $954.99 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $117.49 Typical High $389.05 | Professional | 26 · Professional part | $58.88 | $117.49 | $389.05 |
Medica Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $199.53 Typical High $776.25 | Professional | TC · Technical part | $87.10 | $199.53 | $776.25 |
Midlands Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $331.13 | Professional | None | $302.00 | $302.00 | $331.13 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $117.49 | Professional | 26 · Professional part | $104.71 | $104.71 | $117.49 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $199.53 Typical High $213.80 | Professional | TC · Technical part | $190.55 | $199.53 | $213.80 |
Midlands Setting Professional Modifier None (both parts) Typical Low $275.42 Median $323.59 Typical High $467.74 | Professional | None (both parts) | $275.42 | $323.59 | $467.74 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $48.98 Median $125.89 Typical High $245.47 | Professional | None (both parts) | $48.98 | $125.89 | $245.47 |
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 $131.83 Median $223.87 Typical High $338.84 | Professional | None (both parts) | $131.83 | $223.87 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $81.28 Typical High $125.89 | Professional | 26 · Professional part | $50.12 | $81.28 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $144.54 Typical High $213.80 | Professional | TC · Technical part | $83.18 | $144.54 | $213.80 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $288.40 | Professional | None (both parts) | $245.47 | $245.47 | $288.40 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $102.33 | Professional | 26 · Professional part | $87.10 | $87.10 | $102.33 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $186.21 | Professional | TC · Technical part | $158.49 | $158.49 | $186.21 |
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 $57.54 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $57.54 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $22.91 | $28.18 | $28.18 |
Where Iowa sits
The same service costs 3.2 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· 5th of 51
$245
AK $302TX $93.33
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.