How much rates vary
Facilitymedian $2,042 · 10th to 90th $417 to $2,291Professionalmedian $1,622 · 10th to 90th $759 to $2,188
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,000.00 Typical High $1,000.00 | Professional | None (both parts) | $831.76 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $158.49 | $208.93 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $794.33 Typical High $794.33 | Professional | TC · Technical part | $660.69 | $794.33 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $2,089.30 Typical High $2,089.30 | Professional | None (both parts) | $1,318.26 | $2,089.30 | $2,089.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $416.87 Typical High $489.78 | Professional | 26 · Professional part | $316.23 | $416.87 | $489.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,698.24 Typical High $1,698.24 | Professional | TC · Technical part | $954.99 | $1,698.24 | $1,698.24 |
Hally Health Setting Professional Modifier None Typical Low $602.56 Median $812.83 Typical High $3,630.78 | Professional | None | $602.56 | $812.83 | $3,630.78 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $275.42 Typical High $1,071.52 | Professional | 26 · Professional part | $158.49 | $275.42 | $1,071.52 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $602.56 Typical High $2,570.40 | Professional | TC · Technical part | $478.63 | $602.56 | $2,570.40 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $2,137.96 Typical High $2,290.87 | Facility | None | $416.87 | $2,137.96 | $2,290.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $616.60 Median $1,584.89 Typical High $5,754.40 | Professional | None (both parts) | $616.60 | $1,584.89 | $5,754.40 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $457.09 Typical High $1,445.44 | Professional | 26 · Professional part | $239.88 | $457.09 | $1,445.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $851.14 Typical High $4,677.35 | Professional | TC · Technical part | $436.52 | $851.14 | $4,677.35 |
Midlands Setting Professional Modifier None Typical Low $1,778.28 Median $2,089.30 Typical High $2,187.76 | Professional | None | $1,778.28 | $2,089.30 | $2,187.76 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $416.87 Typical High $489.78 | Professional | 26 · Professional part | $416.87 | $416.87 | $489.78 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $1,445.44 Median $1,698.24 Typical High $1,698.24 | Professional | TC · Technical part | $1,445.44 | $1,698.24 | $1,698.24 |
Midlands Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,778.28 Typical High $2,290.87 | Professional | None (both parts) | $1,659.59 | $1,778.28 | $2,290.87 |
United Setting Professional Modifier None (both parts) Typical Low $602.56 Median $1,047.13 Typical High $1,584.89 | Professional | None (both parts) | $602.56 | $1,047.13 | $1,584.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $316.23 Typical High $512.86 | Professional | 26 · Professional part | $199.53 | $316.23 | $512.86 |
United Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $691.83 Typical High $1,000.00 | Professional | TC · Technical part | $371.54 | $691.83 | $1,000.00 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $1,621.81 Typical High $1,905.46 | Professional | None (both parts) | $1,621.81 | $1,621.81 | $1,905.46 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $371.54 Typical High $436.52 | Professional | 26 · Professional part | $371.54 | $371.54 | $436.52 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,258.93 Typical High $1,479.11 | Professional | TC · Technical part | $1,258.93 | $1,258.93 | $1,479.11 |
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 $416.87 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $416.87 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $165.96 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $147.91 Typical High $147.91 | Professional | 55 · Aftercare only | $125.89 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $83.18 Median $100.00 Typical High $100.00 | Professional | 56 · Pre-op care only | $83.18 | $100.00 | $100.00 |
Where Iowa sits
The same service costs 9.1 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· 4th of 51
$1,622
AK $2,188KY $240
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.