How much rates vary
Facilitymedian $8,318 · 10th to 90th $3,467 to $14,791Professionalmedian $4,266 · 10th to 90th $209 to $14,125
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 $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None (both parts) | $3,467.37 | $3,467.37 | $3,467.37 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $4,897.79 Typical High $15,848.93 | Professional | None (both parts) | $208.93 | $4,897.79 | $15,848.93 |
Cigna Setting Facility Modifier None Typical Low $7,244.36 Median $8,511.38 Typical High $11,220.18 | Facility | None | $7,244.36 | $8,511.38 | $11,220.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,630.78 Median $7,943.28 Typical High $9,120.11 | Professional | None (both parts) | $3,630.78 | $7,943.28 | $9,120.11 |
DeanCare Setting Facility Modifier None Typical Low $3,467.37 Median $13,803.84 Typical High $18,620.87 | Facility | None | $3,467.37 | $13,803.84 | $18,620.87 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $17,378.01 Median $17,378.01 Typical High $19,498.45 | Professional | None (both parts) | $17,378.01 | $17,378.01 | $19,498.45 |
Medica Setting Facility Modifier None Typical Low $2,238.72 Median $3,467.37 Typical High $5,888.44 | Facility | None | $2,238.72 | $3,467.37 | $5,888.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $3,467.37 Typical High $14,454.40 | Professional | None (both parts) | $1,698.24 | $3,467.37 | $14,454.40 |
Network Health Setting Facility Modifier None Typical Low $3,162.28 Median $3,467.37 Typical High $8,317.64 | Facility | None | $3,162.28 | $3,467.37 | $8,317.64 |
Network Health Setting Professional Modifier None (both parts) Typical Low $2,951.21 Median $4,365.16 Typical High $5,011.87 | Professional | None (both parts) | $2,951.21 | $4,365.16 | $5,011.87 |
Prevea360 Setting Facility Modifier None Typical Low $2,238.72 Median $3,467.37 Typical High $5,888.44 | Facility | None | $2,238.72 | $3,467.37 | $5,888.44 |
Quartz Setting Professional Modifier None Typical Low $3,235.94 Median $6,760.83 Typical High $8,709.64 | Professional | None | $3,235.94 | $6,760.83 | $8,709.64 |
Quartz Setting Professional Modifier None (both parts) Typical Low $3,630.78 Median $3,630.78 Typical High $7,585.78 | Professional | None (both parts) | $3,630.78 | $3,630.78 | $7,585.78 |
Security Health Setting Professional Modifier None Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Professional | None | $6,165.95 | $6,165.95 | $6,165.95 |
Security Health Setting Professional Modifier None (both parts) Typical Low $15,848.93 Median $15,848.93 Typical High $15,848.93 | Professional | None (both parts) | $15,848.93 | $15,848.93 | $15,848.93 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Facility | None | $3,467.37 | $3,467.37 | $3,467.37 |
United Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $2,041.74 Typical High $8,912.51 | Professional | None (both parts) | $1,230.27 | $2,041.74 | $8,912.51 |
4 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 $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | 26 · Professional part | $3,467.37 | $3,467.37 | $3,467.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 53 · Discontinued | $707.95 | $707.95 | $707.95 |
Medica Setting Professional Modifier TC · Technical part Typical Low $14,791.08 Median $14,791.08 Typical High $14,791.08 | Professional | TC · Technical part | $14,791.08 | $14,791.08 | $14,791.08 |
Where Wisconsin sits
The same service costs 30.9 times more in Texas than in Ohio. 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
$4,365
TX $14,454OH $468
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.