How much rates vary
Facilitymedian $200 · 10th to 90th $123 to $692Professionalmedian $135 · 10th to 90th $46 to $191
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 $63.10 Median $79.43 Typical High $79.43 | Facility | None | $63.10 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $79.43 Typical High $138.04 | Professional | None (both parts) | $61.66 | $79.43 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $22.39 Typical High $22.39 | Professional | 26 · Professional part | $17.38 | $22.39 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $56.23 Typical High $120.23 | Professional | TC · Technical part | $43.65 | $56.23 | $120.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $204.17 | Professional | None (both parts) | $131.83 | $158.49 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $48.98 | Professional | 26 · Professional part | $32.36 | $43.65 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $114.82 Typical High $147.91 | Professional | TC · Technical part | $93.33 | $114.82 | $147.91 |
Hally Health Setting Professional Modifier None Typical Low $57.54 Median $91.20 Typical High $204.17 | Professional | None | $57.54 | $91.20 | $204.17 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $26.92 Typical High $51.29 | Professional | 26 · Professional part | $16.60 | $26.92 | $51.29 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $75.86 Typical High $154.88 | Professional | TC · Technical part | $40.74 | $75.86 | $154.88 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $199.53 Typical High $758.58 | Facility | None | $123.03 | $199.53 | $758.58 |
Medica Setting Professional Modifier None (both parts) Typical Low $69.18 Median $162.18 Typical High $812.83 | Professional | None (both parts) | $69.18 | $162.18 | $812.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $47.86 Typical High $416.87 | Professional | 26 · Professional part | $23.99 | $47.86 | $416.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $120.23 Typical High $562.34 | Professional | TC · Technical part | $66.07 | $120.23 | $562.34 |
Midlands Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $177.83 | Professional | None | $158.49 | $158.49 | $177.83 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $48.98 | Professional | 26 · Professional part | $43.65 | $43.65 | $48.98 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $131.83 | Professional | TC · Technical part | $114.82 | $114.82 | $131.83 |
Midlands Setting Professional Modifier None (both parts) Typical Low $173.78 Median $251.19 Typical High $346.74 | Professional | None (both parts) | $173.78 | $251.19 | $346.74 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $19.95 Median $69.18 Typical High $134.90 | Professional | None (both parts) | $19.95 | $69.18 | $134.90 |
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 $72.44 Median $138.04 Typical High $234.42 | Professional | None (both parts) | $72.44 | $138.04 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $33.88 Typical High $51.29 | Professional | 26 · Professional part | $20.42 | $33.88 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $102.33 Typical High $177.83 | Professional | TC · Technical part | $50.12 | $102.33 | $177.83 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $158.49 | Professional | None (both parts) | $134.90 | $134.90 | $158.49 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $42.66 | Professional | 26 · Professional part | $36.31 | $36.31 | $42.66 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $117.49 | Professional | TC · Technical part | $100.00 | $100.00 | $117.49 |
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 $30.20 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $30.20 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $12.30 | $15.85 | $15.85 |
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· 7th of 51
$135
AK $162TX $51.29
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.