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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $177.83 Typical High $181.97 | Professional | None (both parts) | $138.04 | $177.83 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $81.28 | $104.71 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $74.13 Typical High $77.62 | Professional | TC · Technical part | $60.26 | $74.13 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $398.11 | Professional | None (both parts) | $229.09 | $229.09 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $223.87 | Professional | 26 · Professional part | $134.90 | $134.90 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $169.82 | Professional | TC · Technical part | $93.33 | $93.33 | $169.82 |
Hally Health Setting Professional Modifier None Typical Low $131.83 Median $177.83 Typical High $371.54 | Professional | None | $131.83 | $177.83 | $371.54 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $104.71 Typical High $223.87 | Professional | 26 · Professional part | $79.43 | $104.71 | $223.87 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $72.44 Typical High $169.82 | Professional | TC · Technical part | $53.70 | $72.44 | $169.82 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $371.54 Typical High $776.25 | Facility | None | $177.83 | $371.54 | $776.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $213.80 Median $331.13 Typical High $954.99 | Professional | None (both parts) | $213.80 | $331.13 | $954.99 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $223.87 Typical High $537.03 | Professional | 26 · Professional part | $112.20 | $223.87 | $537.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $144.54 Typical High $416.87 | Professional | TC · Technical part | $75.86 | $144.54 | $416.87 |
Midlands Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $407.38 | Professional | None | $229.09 | $229.09 | $407.38 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $229.09 | Professional | 26 · Professional part | $134.90 | $134.90 | $229.09 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $177.83 | Professional | TC · Technical part | $93.33 | $93.33 | $177.83 |
Midlands Setting Professional Modifier None (both parts) Typical Low $177.83 Median $302.00 Typical High $537.03 | Professional | None (both parts) | $177.83 | $302.00 | $537.03 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $158.49 Typical High $309.03 | Professional | None (both parts) | $74.13 | $158.49 | $309.03 |
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 $165.96 Median $269.15 Typical High $398.11 | Professional | None (both parts) | $165.96 | $269.15 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $158.49 Typical High $239.88 | Professional | 26 · Professional part | $100.00 | $158.49 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $102.33 Typical High $158.49 | Professional | TC · Technical part | $66.07 | $102.33 | $158.49 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $363.08 | Professional | None (both parts) | $309.03 | $309.03 | $363.08 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $208.93 | Professional | 26 · Professional part | $173.78 | $173.78 | $208.93 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $158.49 | Professional | TC · Technical part | $134.90 | $134.90 | $158.49 |
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 $69.18 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $69.18 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $35.48 Typical High $35.48 | Professional | 53 · Discontinued | $27.54 | $35.48 | $35.48 |
Where Iowa sits
The same service costs 3.6 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· 11th of 51
$229
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.