How much rates vary
Facilitymedian $41 · 10th to 90th $20 to $105Professionalmedian $26 · 10th to 90th $13 to $47
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 $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None (both parts) | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $6.03 Typical High $6.92 | Professional | 26 · Professional part | $6.03 | $6.03 | $6.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | TC · Technical part | $9.33 | $9.33 | $9.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $28.84 Typical High $40.74 | Professional | None (both parts) | $27.54 | $28.84 | $40.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.02 Typical High $19.50 | Professional | 26 · Professional part | $10.96 | $12.02 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $16.60 Typical High $24.55 | Professional | TC · Technical part | $16.60 | $16.60 | $24.55 |
Hally Health Setting Professional Modifier None Typical Low $16.60 Median $32.36 Typical High $38.02 | Professional | None | $16.60 | $32.36 | $38.02 |
Hally Health Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $12.88 Typical High $15.14 | Professional | 26 · Professional part | $6.92 | $12.88 | $15.14 |
Hally Health Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $19.95 Typical High $23.44 | Professional | TC · Technical part | $10.47 | $19.95 | $23.44 |
Medica Setting Facility Modifier None Typical Low $20.42 Median $32.36 Typical High $100.00 | Facility | None | $20.42 | $32.36 | $100.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $21.88 Median $32.36 Typical High $114.82 | Professional | None (both parts) | $21.88 | $32.36 | $114.82 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $20.89 Typical High $114.82 | Professional | 26 · Professional part | $9.55 | $20.89 | $114.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $23.99 Typical High $70.79 | Professional | TC · Technical part | $11.75 | $23.99 | $70.79 |
Midlands Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $45.71 | Professional | None | $28.84 | $28.84 | $45.71 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $19.50 | Professional | 26 · Professional part | $12.02 | $12.02 | $19.50 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $16.60 Typical High $25.70 | Professional | TC · Technical part | $16.60 | $16.60 | $25.70 |
Midlands Setting Professional Modifier None (both parts) Typical Low $39.81 Median $45.71 Typical High $51.29 | Professional | None (both parts) | $39.81 | $45.71 | $51.29 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $8.51 Median $17.78 Typical High $35.48 | Professional | None (both parts) | $8.51 | $17.78 | $35.48 |
United Setting Facility Modifier None Typical Low $56.23 Median $93.33 Typical High $117.49 | Facility | None | $56.23 | $93.33 | $117.49 |
United Setting Professional Modifier None (both parts) Typical Low $19.50 Median $30.20 Typical High $48.98 | Professional | None (both parts) | $19.50 | $30.20 | $48.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $13.49 Typical High $22.91 | Professional | 26 · Professional part | $9.12 | $13.49 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $16.60 Typical High $26.30 | Professional | TC · Technical part | $10.23 | $16.60 | $26.30 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $22.39 Median $22.39 Typical High $26.30 | Professional | None (both parts) | $22.39 | $22.39 | $26.30 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $10.96 | Professional | 26 · Professional part | $9.33 | $9.33 | $10.96 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $12.88 Typical High $15.14 | Professional | TC · Technical part | $12.88 | $12.88 | $15.14 |
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 $7.76 Median $7.76 Typical High $7.76 | Professional | 52 · Reduced service | $7.76 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | 53 · Discontinued | $3.09 | $3.09 | $3.09 |
Where Iowa sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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· 14th of 51
$26.30
WI $39.81NC $17.38
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.