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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $128.82 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $25.12 | $32.36 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $104.71 | $134.90 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $309.03 Typical High $389.05 | Professional | None (both parts) | $257.04 | $309.03 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $64.57 Typical High $72.44 | Professional | 26 · Professional part | $47.86 | $64.57 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $239.88 Typical High $316.23 | Professional | TC · Technical part | $208.93 | $239.88 | $316.23 |
Hally Health Setting Professional Modifier None Typical Low $104.71 Median $144.54 Typical High $416.87 | Professional | None | $104.71 | $144.54 | $416.87 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $39.81 Typical High $77.62 | Professional | 26 · Professional part | $24.55 | $39.81 | $77.62 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $114.82 Typical High $323.59 | Professional | TC · Technical part | $54.95 | $114.82 | $323.59 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $346.74 Typical High $758.58 | Facility | None | $112.20 | $346.74 | $758.58 |
Medica Setting Professional Modifier None (both parts) Typical Low $97.72 Median $295.12 Typical High $1,023.29 | Professional | None (both parts) | $97.72 | $295.12 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $69.18 Typical High $602.56 | Professional | 26 · Professional part | $35.48 | $69.18 | $602.56 |
Medica Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $257.04 Typical High $851.14 | Professional | TC · Technical part | $107.15 | $257.04 | $851.14 |
Midlands Setting Professional Modifier None Typical Low $263.03 Median $309.03 Typical High $416.87 | Professional | None | $263.03 | $309.03 | $416.87 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $72.44 | Professional | 26 · Professional part | $64.57 | $64.57 | $72.44 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $346.74 | Professional | TC · Technical part | $239.88 | $239.88 | $346.74 |
Midlands Setting Professional Modifier None (both parts) Typical Low $234.42 Median $263.03 Typical High $407.38 | Professional | None (both parts) | $234.42 | $263.03 | $407.38 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $28.84 Median $138.04 Typical High $269.15 | Professional | None (both parts) | $28.84 | $138.04 | $269.15 |
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 $218.78 Typical High $346.74 | Professional | None (both parts) | $131.83 | $218.78 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $30.20 | $50.12 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $181.97 Typical High $269.15 | Professional | TC · Technical part | $97.72 | $181.97 | $269.15 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $316.23 | Professional | None (both parts) | $269.15 | $269.15 | $316.23 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $61.66 | Professional | 26 · Professional part | $52.48 | $52.48 | $61.66 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $257.04 | Professional | TC · Technical part | $218.78 | $218.78 | $257.04 |
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 $64.57 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $64.57 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $25.70 | $33.88 | $33.88 |
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· 6th of 51
$263
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.