How much rates vary
Facilitymedian $95 · 10th to 90th $42 to $178Professionalmedian $51 · 10th to 90th $19 to $174
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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $43.65 | Professional | None (both parts) | $41.69 | $41.69 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $91.20 Typical High $95.50 | Facility | None | $75.86 | $91.20 | $95.50 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $19.05 Median $58.88 Typical High $181.97 | Professional | None (both parts) | $19.05 | $58.88 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $102.33 Typical High $134.90 | Facility | None | $87.10 | $102.33 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $95.50 Typical High $109.65 | Professional | None (both parts) | $43.65 | $95.50 | $109.65 |
DeanCare Setting Facility Modifier None Typical Low $41.69 Median $165.96 Typical High $223.87 | Facility | None | $41.69 | $165.96 | $223.87 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $234.42 | Professional | None (both parts) | $208.93 | $208.93 | $234.42 |
Medica Setting Facility Modifier None Typical Low $26.92 Median $41.69 Typical High $70.79 | Facility | None | $26.92 | $41.69 | $70.79 |
Medica Setting Professional Modifier None (both parts) Typical Low $20.42 Median $41.69 Typical High $173.78 | Professional | None (both parts) | $20.42 | $41.69 | $173.78 |
Network Health Setting Facility Modifier None Typical Low $38.02 Median $41.69 Typical High $100.00 | Facility | None | $38.02 | $41.69 | $100.00 |
Network Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $56.23 Typical High $83.18 | Professional | None (both parts) | $35.48 | $56.23 | $83.18 |
Prevea360 Setting Facility Modifier None Typical Low $26.92 Median $41.69 Typical High $70.79 | Facility | None | $26.92 | $41.69 | $70.79 |
Quartz Setting Professional Modifier None Typical Low $38.90 Median $81.28 Typical High $104.71 | Professional | None | $38.90 | $81.28 | $104.71 |
Quartz Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $91.20 | Professional | None (both parts) | $43.65 | $43.65 | $91.20 |
Security Health Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Security Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $194.98 Typical High $269.15 | Professional | None (both parts) | $190.55 | $194.98 | $269.15 |
United Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
United Setting Professional Modifier None (both parts) Typical Low $14.79 Median $24.55 Typical High $107.15 | Professional | None (both parts) | $14.79 | $24.55 | $107.15 |
5 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 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $20.89 Typical High $21.88 | Professional | 52 · Reduced service | $20.89 | $20.89 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $8.71 | Professional | 53 · Discontinued | $8.51 | $8.51 | $8.71 |
Medica Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | TC · Technical part | $218.78 | $218.78 | $218.78 |
Security Health Setting Professional Modifier AD · Supervising 5+ Typical Low $190.55 Median $194.98 Typical High $269.15 | Professional | AD · Supervising 5+ | $190.55 | $194.98 | $269.15 |
Where Wisconsin sits
The same service costs 8.7 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
$54.95
TX $129AL $14.79
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.