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 $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $162.18 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $25.70 | $33.11 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $134.90 | $177.83 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $316.23 Typical High $446.68 | Professional | None (both parts) | $302.00 | $316.23 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $63.10 Typical High $70.79 | Professional | 26 · Professional part | $48.98 | $63.10 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $380.19 | Professional | TC · Technical part | $251.19 | $251.19 | $380.19 |
Hally Health Setting Professional Modifier None Typical Low $107.15 Median $177.83 Typical High $588.84 | Professional | None | $107.15 | $177.83 | $588.84 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $40.74 Typical High $100.00 | Professional | 26 · Professional part | $25.12 | $40.74 | $100.00 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $128.82 Typical High $457.09 | Professional | TC · Technical part | $54.95 | $128.82 | $457.09 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $363.08 Typical High $794.33 | Facility | None | $117.49 | $363.08 | $794.33 |
Medica Setting Professional Modifier None (both parts) Typical Low $100.00 Median $309.03 Typical High $954.99 | Professional | None (both parts) | $100.00 | $309.03 | $954.99 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $69.18 Typical High $602.56 | Professional | 26 · Professional part | $36.31 | $69.18 | $602.56 |
Medica Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $257.04 Typical High $794.33 | Professional | TC · Technical part | $112.20 | $257.04 | $794.33 |
Midlands Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $446.68 | Professional | None | $316.23 | $316.23 | $446.68 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $70.79 | Professional | 26 · Professional part | $63.10 | $63.10 | $70.79 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $380.19 | Professional | TC · Technical part | $251.19 | $251.19 | $380.19 |
Midlands Setting Professional Modifier None (both parts) Typical Low $234.42 Median $269.15 Typical High $436.52 | Professional | None (both parts) | $234.42 | $269.15 | $436.52 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $30.20 Median $169.82 Typical High $338.84 | Professional | None (both parts) | $30.20 | $169.82 | $338.84 |
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 $134.90 Median $223.87 Typical High $346.74 | Professional | None (both parts) | $134.90 | $223.87 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $50.12 Typical High $74.13 | Professional | 26 · Professional part | $30.90 | $50.12 | $74.13 |
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 $338.84 Median $338.84 Typical High $398.11 | Professional | None (both parts) | $338.84 | $338.84 | $398.11 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $63.10 | Professional | 26 · Professional part | $53.70 | $53.70 | $63.10 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $338.84 | Professional | TC · Technical part | $288.40 | $288.40 | $338.84 |
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 $81.28 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $81.28 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $32.36 | $41.69 | $41.69 |
Where Iowa sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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
$309
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.