How much rates vary
Facilitymedian $2,239 · 10th to 90th $955 to $4,074Professionalmedian $1,259 · 10th to 90th $331 to $3,981
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 $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | None (both parts) | $954.99 | $954.99 | $954.99 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $1,621.81 Typical High $4,265.80 | Professional | None (both parts) | $239.88 | $1,621.81 | $4,265.80 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $2,344.23 Typical High $3,090.30 | Facility | None | $1,995.26 | $2,344.23 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $2,187.76 Typical High $2,454.71 | Professional | None (both parts) | $977.24 | $2,187.76 | $2,454.71 |
DeanCare Setting Facility Modifier None Typical Low $954.99 Median $3,715.35 Typical High $5,011.87 | Facility | None | $954.99 | $3,715.35 | $5,011.87 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $4,786.30 Median $4,786.30 Typical High $5,248.07 | Professional | None (both parts) | $4,786.30 | $4,786.30 | $5,248.07 |
Medica Setting Facility Modifier None Typical Low $616.60 Median $954.99 Typical High $1,584.89 | Facility | None | $616.60 | $954.99 | $1,584.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $457.09 Median $954.99 Typical High $3,981.07 | Professional | None (both parts) | $457.09 | $954.99 | $3,981.07 |
Network Health Setting Facility Modifier None Typical Low $851.14 Median $954.99 Typical High $954.99 | Facility | None | $851.14 | $954.99 | $954.99 |
Network Health Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,202.26 Typical High $1,348.96 | Professional | None (both parts) | $794.33 | $1,202.26 | $1,348.96 |
Prevea360 Setting Facility Modifier None Typical Low $616.60 Median $954.99 Typical High $1,584.89 | Facility | None | $616.60 | $954.99 | $1,584.89 |
Quartz Setting Professional Modifier None Typical Low $891.25 Median $1,819.70 Typical High $2,398.83 | Professional | None | $891.25 | $1,819.70 | $2,398.83 |
Quartz Setting Professional Modifier None (both parts) Typical Low $977.24 Median $977.24 Typical High $1,148.15 | Professional | None (both parts) | $977.24 | $977.24 | $1,148.15 |
Security Health Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None | $1,698.24 | $1,698.24 | $1,698.24 |
Security Health Setting Professional Modifier None (both parts) Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Professional | None (both parts) | $4,365.16 | $4,365.16 | $4,365.16 |
United Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $562.34 Typical High $2,454.71 | Professional | None (both parts) | $331.13 | $562.34 | $2,454.71 |
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 $954.99 Median $954.99 Typical High $954.99 | Professional | 26 · Professional part | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $190.55 | $190.55 | $190.55 |
Medica Setting Professional Modifier TC · Technical part Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | TC · Technical part | $4,073.80 | $4,073.80 | $4,073.80 |
Where Wisconsin sits
The same service costs 12.0 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· 4th of 51
$1,318
TX $3,981AL $331
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.