How much rates vary
Facilitymedian $12,303 · 10th to 90th $5,012 to $21,380Professionalmedian $6,761 · 10th to 90th $1,738 to $20,893
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 $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | None (both parts) | $5,011.87 | $5,011.87 | $5,011.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $8,511.38 Typical High $22,387.21 | Professional | None (both parts) | $208.93 | $8,511.38 | $22,387.21 |
Cigna Setting Facility Modifier None Typical Low $10,471.29 Median $12,302.69 Typical High $16,218.10 | Facility | None | $10,471.29 | $12,302.69 | $16,218.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $5,128.61 Median $11,481.54 Typical High $13,182.57 | Professional | None (both parts) | $5,128.61 | $11,481.54 | $13,182.57 |
DeanCare Setting Facility Modifier None Typical Low $5,011.87 Median $19,498.45 Typical High $26,302.68 | Facility | None | $5,011.87 | $19,498.45 | $26,302.68 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $25,118.86 Median $25,118.86 Typical High $27,542.29 | Professional | None (both parts) | $25,118.86 | $25,118.86 | $27,542.29 |
Medica Setting Facility Modifier None Typical Low $3,235.94 Median $5,011.87 Typical High $8,317.64 | Facility | None | $3,235.94 | $5,011.87 | $8,317.64 |
Medica Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $5,011.87 Typical High $20,892.96 | Professional | None (both parts) | $2,398.83 | $5,011.87 | $20,892.96 |
Network Health Setting Facility Modifier None Typical Low $4,466.84 Median $5,011.87 Typical High $5,011.87 | Facility | None | $4,466.84 | $5,011.87 | $5,011.87 |
Network Health Setting Professional Modifier None (both parts) Typical Low $4,168.69 Median $6,309.57 Typical High $7,079.46 | Professional | None (both parts) | $4,168.69 | $6,309.57 | $7,079.46 |
Prevea360 Setting Facility Modifier None Typical Low $3,235.94 Median $5,011.87 Typical High $8,317.64 | Facility | None | $3,235.94 | $5,011.87 | $8,317.64 |
Quartz Setting Professional Modifier None Typical Low $4,677.35 Median $9,549.93 Typical High $12,589.25 | Professional | None | $4,677.35 | $9,549.93 | $12,589.25 |
Quartz Setting Professional Modifier None (both parts) Typical Low $5,128.61 Median $5,128.61 Typical High $6,025.60 | Professional | None (both parts) | $5,128.61 | $5,128.61 | $6,025.60 |
Security Health Setting Professional Modifier None Typical Low $8,912.51 Median $8,912.51 Typical High $8,912.51 | Professional | None | $8,912.51 | $8,912.51 | $8,912.51 |
Security Health Setting Professional Modifier None (both parts) Typical Low $22,908.68 Median $22,908.68 Typical High $22,908.68 | Professional | None (both parts) | $22,908.68 | $22,908.68 | $22,908.68 |
United Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
United Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $2,951.21 Typical High $12,882.50 | Professional | None (both parts) | $1,737.80 | $2,951.21 | $12,882.50 |
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 53 · Discontinued Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | 53 · Discontinued | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | 26 · Professional part | $5,011.87 | $5,011.87 | $5,011.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | 52 · Reduced service | $2,511.89 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 53 · Discontinued | $1,000.00 | $1,000.00 | $1,000.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21,379.62 Median $21,379.62 Typical High $21,379.62 | Professional | TC · Technical part | $21,379.62 | $21,379.62 | $21,379.62 |
Where Wisconsin sits
The same service costs 67.6 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· 4th of 51
$7,079
TX $20,893OH $309
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.