How much rates vary
Facilitymedian $2,291 · 10th to 90th $1,148 to $2,692Professionalmedian $2,291 · 10th to 90th $1,148 to $2,818
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 $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,148.15 Typical High $1,148.15 | Professional | None (both parts) | $954.99 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $245.47 Typical High $245.47 | Professional | 26 · Professional part | $186.21 | $245.47 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $912.01 Typical High $912.01 | Professional | TC · Technical part | $758.58 | $912.01 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $2,398.83 Typical High $2,691.53 | Professional | None (both parts) | $1,949.84 | $2,398.83 | $2,691.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $478.63 Typical High $537.03 | Professional | 26 · Professional part | $363.08 | $478.63 | $537.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,584.89 Median $1,905.46 Typical High $2,137.96 | Professional | TC · Technical part | $1,584.89 | $1,905.46 | $2,137.96 |
Hally Health Setting Professional Modifier None Typical Low $1,096.48 Median $1,380.38 Typical High $5,754.40 | Professional | None | $1,096.48 | $1,380.38 | $5,754.40 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $331.13 Typical High $1,174.90 | Professional | 26 · Professional part | $181.97 | $331.13 | $1,174.90 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,148.15 Typical High $4,677.35 | Professional | TC · Technical part | $912.01 | $1,148.15 | $4,677.35 |
Medica Setting Facility Modifier None Typical Low $1,288.25 Median $2,344.23 Typical High $2,691.53 | Facility | None | $1,288.25 | $2,344.23 | $2,691.53 |
Medica Setting Professional Modifier None (both parts) Typical Low $831.76 Median $2,344.23 Typical High $6,606.93 | Professional | None (both parts) | $831.76 | $2,344.23 | $6,606.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $524.81 Typical High $1,737.80 | Professional | 26 · Professional part | $275.42 | $524.81 | $1,737.80 |
Medica Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $2,137.96 Typical High $5,248.07 | Professional | TC · Technical part | $912.01 | $2,137.96 | $5,248.07 |
Midlands Setting Professional Modifier None Typical Low $2,041.74 Median $2,398.83 Typical High $2,570.40 | Professional | None | $2,041.74 | $2,398.83 | $2,570.40 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $478.63 Typical High $562.34 | Professional | 26 · Professional part | $478.63 | $478.63 | $562.34 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $1,621.81 Median $1,905.46 Typical High $2,041.74 | Professional | TC · Technical part | $1,621.81 | $1,905.46 | $2,041.74 |
Midlands Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $2,041.74 Typical High $2,691.53 | Professional | None (both parts) | $1,862.09 | $2,041.74 | $2,691.53 |
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 $1,096.48 Median $1,949.84 Typical High $2,818.38 | Professional | None (both parts) | $1,096.48 | $1,949.84 | $2,818.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $371.54 Typical High $588.84 | Professional | 26 · Professional part | $239.88 | $371.54 | $588.84 |
United Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $1,584.89 Typical High $2,290.87 | Professional | TC · Technical part | $870.96 | $1,584.89 | $2,290.87 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $1,905.46 Typical High $2,290.87 | Professional | None (both parts) | $1,905.46 | $1,905.46 | $2,290.87 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $426.58 Typical High $501.19 | Professional | 26 · Professional part | $426.58 | $426.58 | $501.19 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $1,513.56 Median $1,513.56 Typical High $1,778.28 | Professional | TC · Technical part | $1,513.56 | $1,513.56 | $1,778.28 |
4 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 $478.63 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $478.63 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $190.55 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $141.25 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $95.50 | $114.82 | $114.82 |
Where Iowa sits
The same service costs 11.2 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· 3rd of 51
$2,291
AK $3,020KY $269
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.