How much rates vary
Facilitymedian $5,754 · 10th to 90th $2,089 to $9,333Professionalmedian $2,951 · 10th to 90th $339 to $9,772
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 $1,318.26 Median $1,584.89 Typical High $1,698.24 | Professional | None (both parts) | $1,318.26 | $1,584.89 | $1,698.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $2,951.21 Typical High $9,120.11 | Professional | None (both parts) | $338.84 | $2,951.21 | $9,120.11 |
Cigna Setting Facility Modifier None Typical Low $4,897.79 Median $5,754.40 Typical High $7,585.78 | Facility | None | $4,897.79 | $5,754.40 | $7,585.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $5,370.32 Typical High $6,025.60 | Professional | None (both parts) | $2,398.83 | $5,370.32 | $6,025.60 |
DeanCare Setting Facility Modifier None Typical Low $2,344.23 Median $8,317.64 Typical High $11,220.18 | Facility | None | $2,344.23 | $8,317.64 | $11,220.18 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $11,748.98 Median $11,748.98 Typical High $12,882.50 | Professional | None (both parts) | $11,748.98 | $11,748.98 | $12,882.50 |
Medica Setting Facility Modifier None Typical Low $1,348.96 Median $2,344.23 Typical High $3,890.45 | Facility | None | $1,348.96 | $2,344.23 | $3,890.45 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $2,041.74 Typical High $9,772.37 | Professional | None (both parts) | $1,047.13 | $2,041.74 | $9,772.37 |
Network Health Setting Facility Modifier None Typical Low $1,905.46 Median $2,089.30 Typical High $5,011.87 | Facility | None | $1,905.46 | $2,089.30 | $5,011.87 |
Network Health Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $3,090.30 Typical High $4,168.69 | Professional | None (both parts) | $1,949.84 | $3,090.30 | $4,168.69 |
Prevea360 Setting Facility Modifier None Typical Low $1,348.96 Median $2,344.23 Typical High $3,890.45 | Facility | None | $1,348.96 | $2,344.23 | $3,890.45 |
Quartz Setting Professional Modifier None Typical Low $2,187.76 Median $4,466.84 Typical High $5,888.44 | Professional | None | $2,187.76 | $4,466.84 | $5,888.44 |
Quartz Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $2,398.83 Typical High $4,570.88 | Professional | None (both parts) | $2,398.83 | $2,398.83 | $4,570.88 |
Security Health Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | None | $3,715.35 | $3,715.35 | $3,715.35 |
Security Health Setting Professional Modifier None (both parts) Typical Low $9,772.37 Median $10,715.19 Typical High $13,489.63 | Professional | None (both parts) | $9,772.37 | $10,715.19 | $13,489.63 |
United Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
United Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,230.27 Typical High $5,370.32 | Professional | None (both parts) | $812.83 | $1,230.27 | $5,370.32 |
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 $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | 26 · Professional part | $2,344.23 | $2,344.23 | $2,344.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | 26 · Professional part | $2,344.23 | $2,344.23 | $2,344.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | 52 · Reduced service | $1,174.90 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 53 · Discontinued | $467.74 | $467.74 | $467.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $10,964.78 Median $10,964.78 Typical High $10,964.78 | Professional | TC · Technical part | $10,964.78 | $10,964.78 | $10,964.78 |
Security Health Setting Professional Modifier AD · Supervising 5+ Typical Low $9,772.37 Median $10,715.19 Typical High $13,489.63 | Professional | AD · Supervising 5+ | $9,772.37 | $10,715.19 | $13,489.63 |
Where Wisconsin sits
The same service costs 195.0 times more in Texas than in Mississippi. 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
$3,388
TX $9,772MS $50.12
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.