How much rates vary
Facilitymedian $1,318 · 10th to 90th $562 to $2,512Professionalmedian $1,072 · 10th to 90th $282 to $1,380
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 $537.03 Median $660.69 Typical High $660.69 | Facility | None | $537.03 | $660.69 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $512.86 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $109.65 | $144.54 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $512.86 Typical High $512.86 | Professional | TC · Technical part | $398.11 | $512.86 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,096.48 Typical High $1,479.11 | Professional | None (both parts) | $1,000.00 | $1,096.48 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $275.42 Typical High $309.03 | Professional | 26 · Professional part | $204.17 | $275.42 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $812.83 Typical High $1,174.90 | Professional | TC · Technical part | $758.58 | $812.83 | $1,174.90 |
Hally Health Setting Professional Modifier None Typical Low $478.63 Median $645.65 Typical High $6,309.57 | Professional | None | $478.63 | $645.65 | $6,309.57 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $144.54 Typical High $1,584.89 | Professional | 26 · Professional part | $107.15 | $144.54 | $1,584.89 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $512.86 Typical High $5,370.32 | Professional | TC · Technical part | $371.54 | $512.86 | $5,370.32 |
Medica Setting Facility Modifier None Typical Low $562.34 Median $1,230.27 Typical High $2,511.89 | Facility | None | $562.34 | $1,230.27 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $676.08 Median $1,122.02 Typical High $3,548.13 | Professional | None (both parts) | $676.08 | $1,122.02 | $3,548.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $295.12 Typical High $741.31 | Professional | 26 · Professional part | $154.88 | $295.12 | $741.31 |
Medica Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $891.25 Typical High $2,754.23 | Professional | TC · Technical part | $446.68 | $891.25 | $2,754.23 |
Midlands Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,479.11 | Professional | None | $1,096.48 | $1,096.48 | $1,479.11 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $275.42 Typical High $309.03 | Professional | 26 · Professional part | $275.42 | $275.42 | $309.03 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $812.83 Typical High $1,174.90 | Professional | TC · Technical part | $812.83 | $812.83 | $1,174.90 |
Midlands Setting Professional Modifier None (both parts) Typical Low $851.14 Median $977.24 Typical High $1,778.28 | Professional | None (both parts) | $851.14 | $977.24 | $1,778.28 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $588.84 Typical High $1,174.90 | Professional | None (both parts) | $131.83 | $588.84 | $1,174.90 |
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 $549.54 Median $851.14 Typical High $1,380.38 | Professional | None (both parts) | $549.54 | $851.14 | $1,380.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $218.78 Typical High $331.13 | Professional | 26 · Professional part | $134.90 | $218.78 | $331.13 |
United Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $630.96 Typical High $1,047.13 | Professional | TC · Technical part | $416.87 | $630.96 | $1,047.13 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,174.90 Typical High $1,380.38 | Professional | None (both parts) | $1,174.90 | $1,174.90 | $1,380.38 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $275.42 | Professional | 26 · Professional part | $234.42 | $234.42 | $275.42 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $933.25 Typical High $1,096.48 | Professional | TC · Technical part | $933.25 | $933.25 | $1,096.48 |
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 $257.04 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $257.04 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $102.33 | $131.83 | $131.83 |
Where Iowa sits
The same service costs 3.1 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· 3rd of 51
$1,072
AK $1,259TX $407
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.