How much rates vary
Facilitymedian $2,188 · 10th to 90th $891 to $3,890Professionalmedian $1,096 · 10th to 90th $339 to $3,631
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 $891.25 Median $891.25 Typical High $1,513.56 | Professional | None (both parts) | $891.25 | $891.25 | $1,513.56 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $1,096.48 Typical High $3,235.94 | Professional | None (both parts) | $338.84 | $1,096.48 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $1,862.09 Median $2,187.76 Typical High $2,884.03 | Facility | None | $1,862.09 | $2,187.76 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $2,041.74 Typical High $2,344.23 | Professional | None (both parts) | $912.01 | $2,041.74 | $2,344.23 |
DeanCare Setting Facility Modifier None Typical Low $891.25 Median $3,548.13 Typical High $4,786.30 | Facility | None | $891.25 | $3,548.13 | $4,786.30 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $4,466.84 Median $4,466.84 Typical High $5,011.87 | Professional | None (both parts) | $4,466.84 | $4,466.84 | $5,011.87 |
Medica Setting Facility Modifier None Typical Low $575.44 Median $891.25 Typical High $1,513.56 | Facility | None | $575.44 | $891.25 | $1,513.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $436.52 Median $891.25 Typical High $3,715.35 | Professional | None (both parts) | $436.52 | $891.25 | $3,715.35 |
Network Health Setting Facility Modifier None Typical Low $812.83 Median $891.25 Typical High $2,137.96 | Facility | None | $812.83 | $891.25 | $2,137.96 |
Network Health Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,202.26 Typical High $1,778.28 | Professional | None (both parts) | $741.31 | $1,202.26 | $1,778.28 |
Prevea360 Setting Facility Modifier None Typical Low $575.44 Median $891.25 Typical High $1,513.56 | Facility | None | $575.44 | $891.25 | $1,513.56 |
Quartz Setting Professional Modifier None Typical Low $831.76 Median $1,737.80 Typical High $2,238.72 | Professional | None | $831.76 | $1,737.80 | $2,238.72 |
Quartz Setting Professional Modifier None (both parts) Typical Low $912.01 Median $912.01 Typical High $1,949.84 | Professional | None (both parts) | $912.01 | $912.01 | $1,949.84 |
Security Health Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
Security Health Setting Professional Modifier None (both parts) Typical Low $4,073.80 Median $4,168.69 Typical High $5,754.40 | Professional | None (both parts) | $4,073.80 | $4,168.69 | $5,754.40 |
United Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $524.81 Typical High $2,290.87 | Professional | None (both parts) | $316.23 | $524.81 | $2,290.87 |
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 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | 53 · Discontinued | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | 26 · Professional part | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $446.68 Median $446.68 Typical High $758.58 | Professional | 52 · Reduced service | $446.68 | $446.68 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $177.83 Typical High $302.00 | Professional | 53 · Discontinued | $177.83 | $177.83 | $302.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Professional | TC · Technical part | $4,677.35 | $4,677.35 | $4,677.35 |
Security Health Setting Professional Modifier AD · Supervising 5+ Typical Low $4,073.80 Median $4,168.69 Typical High $5,754.40 | Professional | AD · Supervising 5+ | $4,073.80 | $4,168.69 | $5,754.40 |
Where Wisconsin sits
The same service costs 8.3 times more in Texas than in Indiana. 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· 4th of 51
$1,148
TX $3,715IN $447
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.