How much rates vary
Facilitymedian $209 · 10th to 90th $102 to $398Professionalmedian $162 · 10th to 90th $72 to $251
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 $97.72 Median $123.03 Typical High $123.03 | Facility | None | $97.72 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $79.43 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $32.36 | $41.69 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $79.43 Typical High $79.43 | Professional | TC · Technical part | $41.69 | $79.43 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $275.42 | Professional | None (both parts) | $162.18 | $162.18 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $72.44 Typical High $89.13 | Professional | 26 · Professional part | $60.26 | $72.44 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $91.20 Typical High $186.21 | Professional | TC · Technical part | $85.11 | $91.20 | $186.21 |
Hally Health Setting Professional Modifier None Typical Low $81.28 Median $100.00 Typical High $275.42 | Professional | None | $81.28 | $100.00 | $275.42 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $51.29 Typical High $102.33 | Professional | 26 · Professional part | $31.62 | $51.29 | $102.33 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $57.54 Typical High $158.49 | Professional | TC · Technical part | $20.42 | $57.54 | $158.49 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $199.53 Typical High $398.11 | Facility | None | $102.33 | $199.53 | $398.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $74.13 Median $169.82 Typical High $691.83 | Professional | None (both parts) | $74.13 | $169.82 | $691.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $87.10 Typical High $223.87 | Professional | 26 · Professional part | $44.67 | $87.10 | $223.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $131.83 Typical High $467.74 | Professional | TC · Technical part | $51.29 | $131.83 | $467.74 |
Midlands Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $288.40 | Professional | None | $162.18 | $162.18 | $288.40 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $91.20 | Professional | 26 · Professional part | $72.44 | $72.44 | $91.20 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $194.98 | Professional | TC · Technical part | $91.20 | $91.20 | $194.98 |
Midlands Setting Professional Modifier None (both parts) Typical Low $128.82 Median $162.18 Typical High $281.84 | Professional | None (both parts) | $128.82 | $162.18 | $281.84 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $38.02 Median $107.15 Typical High $213.80 | Professional | None (both parts) | $38.02 | $107.15 | $213.80 |
United Setting Facility Modifier None Typical Low $190.55 Median $323.59 Typical High $407.38 | Facility | None | $190.55 | $323.59 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $77.62 | $151.36 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $63.10 Typical High $95.50 | Professional | 26 · Professional part | $38.02 | $63.10 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $87.10 Typical High $151.36 | Professional | TC · Technical part | $29.51 | $87.10 | $151.36 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $251.19 | Professional | None (both parts) | $213.80 | $213.80 | $251.19 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $79.43 | Professional | 26 · Professional part | $67.61 | $67.61 | $79.43 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $169.82 | Professional | TC · Technical part | $144.54 | $144.54 | $169.82 |
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 $46.77 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $46.77 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $18.62 | $24.55 | $24.55 |
Where Iowa sits
The same service costs 3.5 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· 9th of 51
$162
AK $229KY $64.57
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.