How much rates vary
Facilitymedian $10,233 · 10th to 90th $4,365 to $18,197Professionalmedian $5,248 · 10th to 90th $1,445 to $17,378
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 $4,365.16 Median $4,365.16 Typical High $4,365.16 | Facility | None | $4,365.16 | $4,365.16 | $4,365.16 |
Aetna 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 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $6,025.60 Typical High $19,498.45 | Professional | None (both parts) | $1,445.44 | $6,025.60 | $19,498.45 |
Cigna Setting Facility Modifier None Typical Low $9,120.11 Median $10,471.29 Typical High $13,803.84 | Facility | None | $9,120.11 | $10,471.29 | $13,803.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $4,466.84 Median $10,000.00 Typical High $11,220.18 | Professional | None (both parts) | $4,466.84 | $10,000.00 | $11,220.18 |
DeanCare Setting Facility Modifier None Typical Low $4,365.16 Median $16,982.44 Typical High $22,908.68 | Facility | None | $4,365.16 | $16,982.44 | $22,908.68 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $21,379.62 Median $21,379.62 Typical High $23,988.33 | Professional | None (both parts) | $21,379.62 | $21,379.62 | $23,988.33 |
Medica Setting Facility Modifier None Typical Low $2,754.23 Median $4,365.16 Typical High $7,244.36 | Facility | None | $2,754.23 | $4,365.16 | $7,244.36 |
Medica Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $4,365.16 Typical High $17,782.79 | Professional | None (both parts) | $2,089.30 | $4,365.16 | $17,782.79 |
Network Health Setting Facility Modifier None Typical Low $3,890.45 Median $4,365.16 Typical High $10,232.93 | Facility | None | $3,890.45 | $4,365.16 | $10,232.93 |
Network Health Setting Professional Modifier None (both parts) Typical Low $3,630.78 Median $5,370.32 Typical High $6,165.95 | Professional | None (both parts) | $3,630.78 | $5,370.32 | $6,165.95 |
Prevea360 Setting Facility Modifier None Typical Low $2,754.23 Median $4,365.16 Typical High $7,244.36 | Facility | None | $2,754.23 | $4,365.16 | $7,244.36 |
Quartz Setting Professional Modifier None Typical Low $3,981.07 Median $8,317.64 Typical High $10,715.19 | Professional | None | $3,981.07 | $8,317.64 | $10,715.19 |
Quartz Setting Professional Modifier None (both parts) Typical Low $4,466.84 Median $4,466.84 Typical High $9,332.54 | Professional | None (both parts) | $4,466.84 | $4,466.84 | $9,332.54 |
Security Health Setting Professional Modifier None Typical Low $7,585.78 Median $7,585.78 Typical High $7,585.78 | Professional | None | $7,585.78 | $7,585.78 | $7,585.78 |
Security Health Setting Professional Modifier None (both parts) Typical Low $19,498.45 Median $19,498.45 Typical High $19,498.45 | Professional | None (both parts) | $19,498.45 | $19,498.45 | $19,498.45 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Facility | None | $4,365.16 | $4,365.16 | $4,365.16 |
United Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $2,511.89 Typical High $11,220.18 | Professional | None (both parts) | $1,513.56 | $2,511.89 | $11,220.18 |
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 $4,365.16 Median $4,365.16 Typical High $4,365.16 | Professional | 26 · Professional part | $4,365.16 | $4,365.16 | $4,365.16 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | 52 · Reduced service | $2,137.96 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | 53 · Discontinued | $870.96 | $870.96 | $870.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $18,620.87 Median $18,620.87 Typical High $18,620.87 | Professional | TC · Technical part | $18,620.87 | $18,620.87 | $18,620.87 |
Where Wisconsin sits
The same service costs 8.9 times more in Texas than in New Mexico. 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
$5,370
TX $13,490NM $1,514
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.