How much rates vary
Facilitymedian $1,413 · 10th to 90th $427 to $2,630Professionalmedian $1,202 · 10th to 90th $479 to $1,778
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 $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $851.14 Typical High $851.14 | Professional | None (both parts) | $660.69 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $275.42 Typical High $275.42 | Professional | 26 · Professional part | $208.93 | $275.42 | $275.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $575.44 Typical High $575.44 | Professional | TC · Technical part | $446.68 | $575.44 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,230.27 Typical High $1,862.09 | Professional | None (both parts) | $1,202.26 | $1,230.27 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $524.81 Typical High $602.56 | Professional | 26 · Professional part | $389.05 | $524.81 | $602.56 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $691.83 Typical High $1,230.27 | Professional | TC · Technical part | $588.84 | $691.83 | $1,230.27 |
Hally Health Setting Professional Modifier None Typical Low $501.19 Median $616.60 Typical High $954.99 | Professional | None | $501.19 | $616.60 | $954.99 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $316.23 Typical High $389.05 | Professional | 26 · Professional part | $204.17 | $316.23 | $389.05 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $416.87 Typical High $616.60 | Professional | TC · Technical part | $104.71 | $416.87 | $616.60 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $1,318.26 Typical High $2,630.27 | Facility | None | $426.58 | $1,318.26 | $2,630.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $457.09 Median $1,174.90 Typical High $3,981.07 | Professional | None (both parts) | $457.09 | $1,174.90 | $3,981.07 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $575.44 Typical High $1,412.54 | Professional | 26 · Professional part | $281.84 | $575.44 | $1,412.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $776.25 Typical High $2,570.40 | Professional | TC · Technical part | $346.74 | $776.25 | $2,570.40 |
Midlands Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,862.09 | Professional | None | $1,230.27 | $1,230.27 | $1,862.09 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $524.81 Typical High $602.56 | Professional | 26 · Professional part | $524.81 | $524.81 | $602.56 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $691.83 Typical High $1,230.27 | Professional | TC · Technical part | $691.83 | $691.83 | $1,230.27 |
Midlands Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,148.15 Typical High $1,778.28 | Professional | None (both parts) | $954.99 | $1,148.15 | $1,778.28 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $776.25 Typical High $1,513.56 | Professional | None (both parts) | $251.19 | $776.25 | $1,513.56 |
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 $524.81 Median $933.25 Typical High $1,548.82 | Professional | None (both parts) | $524.81 | $933.25 | $1,548.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $407.38 Typical High $616.60 | Professional | 26 · Professional part | $245.47 | $407.38 | $616.60 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $524.81 Typical High $912.01 | Professional | TC · Technical part | $218.78 | $524.81 | $912.01 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,513.56 Typical High $1,778.28 | Professional | None (both parts) | $1,513.56 | $1,513.56 | $1,778.28 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $446.68 Typical High $524.81 | Professional | 26 · Professional part | $446.68 | $446.68 | $524.81 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,071.52 Typical High $1,258.93 | Professional | TC · Technical part | $1,071.52 | $1,071.52 | $1,258.93 |
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 $331.13 Median $426.58 Typical High $426.58 | Professional | 52 · Reduced service | $331.13 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $169.82 Typical High $169.82 | Professional | 53 · Discontinued | $131.83 | $169.82 | $169.82 |
Where Iowa sits
The same service costs 3.2 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· 6th of 51
$1,202
AK $1,445KY $447
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.