How much rates vary
Facilitymedian $776 · 10th to 90th $331 to $1,288Professionalmedian $398 · 10th to 90th $110 to $1,380
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 $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $331.13 | $331.13 | $331.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $467.74 Typical High $1,445.44 | Professional | None (both parts) | $109.65 | $467.74 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $812.83 Typical High $1,047.13 | Facility | None | $691.83 | $812.83 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $758.58 Typical High $851.14 | Professional | None (both parts) | $338.84 | $758.58 | $851.14 |
DeanCare Setting Facility Modifier None Typical Low $331.13 Median $1,148.15 Typical High $1,548.82 | Facility | None | $331.13 | $1,148.15 | $1,548.82 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,659.59 Typical High $1,819.70 | Professional | None (both parts) | $1,659.59 | $1,659.59 | $1,819.70 |
Medica Setting Facility Modifier None Typical Low $213.80 Median $331.13 Typical High $549.54 | Facility | None | $213.80 | $331.13 | $549.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $147.91 Median $288.40 Typical High $1,380.38 | Professional | None (both parts) | $147.91 | $288.40 | $1,380.38 |
Network Health Setting Facility Modifier None Typical Low $295.12 Median $331.13 Typical High $794.33 | Facility | None | $295.12 | $331.13 | $794.33 |
Network Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $436.52 Typical High $645.65 | Professional | None (both parts) | $275.42 | $436.52 | $645.65 |
Prevea360 Setting Facility Modifier None Typical Low $213.80 Median $331.13 Typical High $549.54 | Facility | None | $213.80 | $331.13 | $549.54 |
Quartz Setting Professional Modifier None Typical Low $302.00 Median $630.96 Typical High $831.76 | Professional | None | $302.00 | $630.96 | $831.76 |
Quartz Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $707.95 | Professional | None (both parts) | $338.84 | $338.84 | $707.95 |
Security Health Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,513.56 Typical High $2,089.30 | Professional | None (both parts) | $1,513.56 | $1,513.56 | $2,089.30 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $173.78 Typical High $758.58 | Professional | None (both parts) | $114.82 | $173.78 | $758.58 |
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 $331.13 Median $331.13 Typical High $331.13 | Professional | 26 · Professional part | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $66.07 | $66.07 | $66.07 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | TC · Technical part | $1,737.80 | $1,737.80 | $1,737.80 |
Security Health Setting Professional Modifier AD · Supervising 5+ Typical Low $1,513.56 Median $1,513.56 Typical High $2,089.30 | Professional | AD · Supervising 5+ | $1,513.56 | $1,513.56 | $2,089.30 |
Where Wisconsin sits
The same service costs 9.3 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· 3rd of 51
$417
TX $1,380IN $148
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.