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 $363.08 Median $446.68 Typical High $446.68 | Facility | None | $363.08 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $338.84 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $42.66 | $54.95 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $389.05 Typical High $389.05 | Professional | TC · Technical part | $295.12 | $389.05 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $691.83 Typical High $977.24 | Professional | None (both parts) | $660.69 | $691.83 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $102.33 Typical High $117.49 | Professional | 26 · Professional part | $77.62 | $102.33 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $588.84 Typical High $870.96 | Professional | TC · Technical part | $549.54 | $588.84 | $870.96 |
Hally Health Setting Professional Modifier None Typical Low $323.59 Median $436.52 Typical High $4,265.80 | Professional | None | $323.59 | $436.52 | $4,265.80 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $54.95 Typical High $2,818.38 | Professional | 26 · Professional part | $40.74 | $54.95 | $2,818.38 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $389.05 Typical High $3,801.89 | Professional | TC · Technical part | $281.84 | $389.05 | $3,801.89 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $812.83 Typical High $1,412.54 | Facility | None | $354.81 | $812.83 | $1,412.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $436.52 Median $741.31 Typical High $2,344.23 | Professional | None (both parts) | $436.52 | $741.31 | $2,344.23 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $112.20 Typical High $281.84 | Professional | 26 · Professional part | $58.88 | $112.20 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $676.08 Typical High $2,041.74 | Professional | TC · Technical part | $331.13 | $676.08 | $2,041.74 |
Midlands Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $977.24 | Professional | None | $691.83 | $691.83 | $977.24 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $120.23 | Professional | 26 · Professional part | $102.33 | $102.33 | $120.23 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $588.84 Typical High $870.96 | Professional | TC · Technical part | $588.84 | $588.84 | $870.96 |
Midlands Setting Professional Modifier None (both parts) Typical Low $549.54 Median $660.69 Typical High $1,202.26 | Professional | None (both parts) | $549.54 | $660.69 | $1,202.26 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $398.11 Typical High $794.33 | Professional | None (both parts) | $50.12 | $398.11 | $794.33 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $2,137.96 Typical High $2,691.53 | Facility | None | $1,288.25 | $2,137.96 | $2,691.53 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $549.54 Typical High $912.01 | Professional | None (both parts) | $354.81 | $549.54 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $83.18 Typical High $125.89 | Professional | 26 · Professional part | $51.29 | $83.18 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $478.63 Typical High $776.25 | Professional | TC · Technical part | $309.03 | $478.63 | $776.25 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $933.25 | Professional | None (both parts) | $794.33 | $794.33 | $933.25 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $107.15 | Professional | 26 · Professional part | $89.13 | $89.13 | $107.15 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $707.95 Typical High $831.76 | Professional | TC · Technical part | $707.95 | $707.95 | $831.76 |
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 $169.82 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $169.82 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $69.18 | $89.13 | $89.13 |
Where Iowa sits
The same service costs 3.0 times more in Alaska than in New Mexico. 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
$692
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.