How much rates vary
Facilitymedian $2,089 · 10th to 90th $871 to $3,715Professionalmedian $1,202 · 10th to 90th $302 to $3,548
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 $645.65 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $645.65 | $3,162.28 | $3,162.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $1,202.26 Typical High $4,265.80 | Professional | None (both parts) | $229.09 | $1,202.26 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $2,089.30 Typical High $2,754.23 | Facility | None | $1,819.70 | $2,089.30 | $2,754.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,995.26 Typical High $2,238.72 | Professional | None (both parts) | $891.25 | $1,995.26 | $2,238.72 |
DeanCare Setting Facility Modifier None Typical Low $870.96 Median $3,388.44 Typical High $4,570.88 | Facility | None | $870.96 | $3,388.44 | $4,570.88 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $4,265.80 Median $4,265.80 Typical High $4,786.30 | Professional | None (both parts) | $4,265.80 | $4,265.80 | $4,786.30 |
Medica Setting Facility Modifier None Typical Low $549.54 Median $870.96 Typical High $1,445.44 | Facility | None | $549.54 | $870.96 | $1,445.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $416.87 Median $870.96 Typical High $3,548.13 | Professional | None (both parts) | $416.87 | $870.96 | $3,548.13 |
Network Health Setting Facility Modifier None Typical Low $776.25 Median $870.96 Typical High $2,041.74 | Facility | None | $776.25 | $870.96 | $2,041.74 |
Network Health Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,071.52 Typical High $1,230.27 | Professional | None (both parts) | $724.44 | $1,071.52 | $1,230.27 |
Prevea360 Setting Facility Modifier None Typical Low $549.54 Median $870.96 Typical High $1,445.44 | Facility | None | $549.54 | $870.96 | $1,445.44 |
Quartz Setting Professional Modifier None Typical Low $794.33 Median $1,659.59 Typical High $2,187.76 | Professional | None | $794.33 | $1,659.59 | $2,187.76 |
Quartz Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $1,862.09 | Professional | None (both parts) | $891.25 | $891.25 | $1,862.09 |
Security Health Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
Security Health Setting Professional Modifier None (both parts) Typical Low $3,890.45 Median $3,890.45 Typical High $3,890.45 | Professional | None (both parts) | $3,890.45 | $3,890.45 | $3,890.45 |
United Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $501.19 Typical High $2,238.72 | Professional | None (both parts) | $302.00 | $501.19 | $2,238.72 |
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 $870.96 Median $870.96 Typical High $870.96 | Facility | 26 · Professional part | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 26 · Professional part | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $436.52 Median $436.52 Typical High $1,584.89 | Professional | 52 · Reduced service | $436.52 | $436.52 | $1,584.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $630.96 | Professional | 53 · Discontinued | $173.78 | $173.78 | $630.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | TC · Technical part | $4,466.84 | $4,466.84 | $4,466.84 |
Where Wisconsin sits
The same service costs 10.2 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
$1,288
TX $3,090AL $302
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.