How much rates vary
Facilitymedian $1,778 · 10th to 90th $724 to $3,162Professionalmedian $955 · 10th to 90th $257 to $3,020
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 $457.09 Median $489.78 Typical High $588.84 | Professional | None (both parts) | $457.09 | $489.78 | $588.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $1,023.29 Typical High $3,388.44 | Professional | None (both parts) | $109.65 | $1,023.29 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $1,778.28 Typical High $2,344.23 | Facility | None | $1,513.56 | $1,778.28 | $2,344.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,659.59 Typical High $1,905.46 | Professional | None (both parts) | $741.31 | $1,659.59 | $1,905.46 |
DeanCare Setting Facility Modifier None Typical Low $724.44 Median $2,884.03 Typical High $3,890.45 | Facility | None | $724.44 | $2,884.03 | $3,890.45 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $3,630.78 Median $3,630.78 Typical High $4,073.80 | Professional | None (both parts) | $3,630.78 | $3,630.78 | $4,073.80 |
Medica Setting Facility Modifier None Typical Low $467.74 Median $724.44 Typical High $1,230.27 | Facility | None | $467.74 | $724.44 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $354.81 Median $724.44 Typical High $3,019.95 | Professional | None (both parts) | $354.81 | $724.44 | $3,019.95 |
Network Health Setting Facility Modifier None Typical Low $660.69 Median $724.44 Typical High $1,737.80 | Facility | None | $660.69 | $724.44 | $1,737.80 |
Network Health Setting Professional Modifier None (both parts) Typical Low $602.56 Median $912.01 Typical High $1,023.29 | Professional | None (both parts) | $602.56 | $912.01 | $1,023.29 |
Prevea360 Setting Facility Modifier None Typical Low $467.74 Median $724.44 Typical High $1,230.27 | Facility | None | $467.74 | $724.44 | $1,230.27 |
Quartz Setting Professional Modifier None Typical Low $676.08 Median $1,412.54 Typical High $1,819.70 | Professional | None | $676.08 | $1,412.54 | $1,819.70 |
Quartz Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $1,584.89 | Professional | None (both parts) | $741.31 | $741.31 | $1,584.89 |
Security Health Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Security Health Setting Professional Modifier None (both parts) Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None (both parts) | $3,311.31 | $3,311.31 | $3,311.31 |
United Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $426.58 Typical High $1,862.09 | Professional | None (both parts) | $257.04 | $426.58 | $1,862.09 |
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 Facility Modifier 26 · Professional part Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | 26 · Professional part | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | 26 · Professional part | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $144.54 | $144.54 | $144.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | TC · Technical part | $3,090.30 | $3,090.30 | $3,090.30 |
Where Wisconsin sits
The same service costs 47.9 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
$1,023
TX $3,020AL $63.10
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.