How much rates vary
Facilitymedian $9,333 · 10th to 90th $3,802 to $16,218Professionalmedian $5,129 · 10th to 90th $1,288 to $15,488
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 Professional Modifier None (both parts) Typical Low $2,511.89 Median $5,128.61 Typical High $5,128.61 | Professional | None (both parts) | $2,511.89 | $5,128.61 | $5,128.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $4,570.88 Typical High $13,803.84 | Professional | None (both parts) | $1,288.25 | $4,570.88 | $13,803.84 |
Cigna Setting Facility Modifier None Typical Low $7,943.28 Median $9,332.54 Typical High $12,302.69 | Facility | None | $7,943.28 | $9,332.54 | $12,302.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,890.45 Median $8,709.64 Typical High $9,772.37 | Professional | None (both parts) | $3,890.45 | $8,709.64 | $9,772.37 |
DeanCare Setting Facility Modifier None Typical Low $3,801.89 Median $14,791.08 Typical High $19,952.62 | Facility | None | $3,801.89 | $14,791.08 | $19,952.62 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $19,054.61 Median $19,054.61 Typical High $20,892.96 | Professional | None (both parts) | $19,054.61 | $19,054.61 | $20,892.96 |
Medica Setting Facility Modifier None Typical Low $2,454.71 Median $3,801.89 Typical High $6,309.57 | Facility | None | $2,454.71 | $3,801.89 | $6,309.57 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $3,801.89 Typical High $15,848.93 | Professional | None (both parts) | $1,819.70 | $3,801.89 | $15,848.93 |
Network Health Setting Facility Modifier None Typical Low $3,388.44 Median $3,801.89 Typical High $9,120.11 | Facility | None | $3,388.44 | $3,801.89 | $9,120.11 |
Network Health Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $5,011.87 Typical High $7,413.10 | Professional | None (both parts) | $3,162.28 | $5,011.87 | $7,413.10 |
Prevea360 Setting Facility Modifier None Typical Low $2,454.71 Median $3,801.89 Typical High $6,309.57 | Facility | None | $2,454.71 | $3,801.89 | $6,309.57 |
Quartz Setting Professional Modifier None Typical Low $3,467.37 Median $7,244.36 Typical High $9,549.93 | Professional | None | $3,467.37 | $7,244.36 | $9,549.93 |
Quartz Setting Professional Modifier None (both parts) Typical Low $3,890.45 Median $3,890.45 Typical High $8,128.31 | Professional | None (both parts) | $3,890.45 | $3,890.45 | $8,128.31 |
Security Health Setting Professional Modifier None Typical Low $6,760.83 Median $6,760.83 Typical High $6,760.83 | Professional | None | $6,760.83 | $6,760.83 | $6,760.83 |
Security Health Setting Professional Modifier None (both parts) Typical Low $17,378.01 Median $17,378.01 Typical High $23,988.33 | Professional | None (both parts) | $17,378.01 | $17,378.01 | $23,988.33 |
United Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
United Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $2,238.72 Typical High $9,772.37 | Professional | None (both parts) | $1,318.26 | $2,238.72 | $9,772.37 |
6 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 Facility Modifier 26 · Professional part Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | 26 · Professional part | $3,801.89 | $3,801.89 | $3,801.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | 26 · Professional part | $3,801.89 | $3,801.89 | $3,801.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,905.46 Median $1,905.46 Typical High $2,570.40 | Professional | 52 · Reduced service | $1,905.46 | $1,905.46 | $2,570.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $758.58 Median $758.58 Typical High $1,023.29 | Professional | 53 · Discontinued | $758.58 | $758.58 | $1,023.29 |
Medica Setting Professional Modifier TC · Technical part Typical Low $19,952.62 Median $19,952.62 Typical High $19,952.62 | Professional | TC · Technical part | $19,952.62 | $19,952.62 | $19,952.62 |
Security Health Setting Professional Modifier AD · Supervising 5+ Typical Low $17,378.01 Median $17,378.01 Typical High $23,988.33 | Professional | AD · Supervising 5+ | $17,378.01 | $17,378.01 | $23,988.33 |
Where Wisconsin sits
The same service costs 26.9 times more in Texas than in Alabama. 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.
Wisconsin· 3rd of 51
$5,129
TX $15,849AL $589
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.