How much rates vary
Facilitymedian $7,762 · 10th to 90th $3,162 to $13,804Professionalmedian $4,074 · 10th to 90th $1,122 to $13,183
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 $3,162.28 Median $3,162.28 Typical High $4,073.80 | Professional | None (both parts) | $3,162.28 | $3,162.28 | $4,073.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $5,370.32 Typical High $14,125.38 | Professional | None (both parts) | $208.93 | $5,370.32 | $14,125.38 |
Cigna Setting Facility Modifier None Typical Low $6,606.93 Median $7,762.47 Typical High $10,232.93 | Facility | None | $6,606.93 | $7,762.47 | $10,232.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,235.94 Median $7,244.36 Typical High $8,317.64 | Professional | None (both parts) | $3,235.94 | $7,244.36 | $8,317.64 |
DeanCare Setting Facility Modifier None Typical Low $3,162.28 Median $12,589.25 Typical High $16,595.87 | Facility | None | $3,162.28 | $12,589.25 | $16,595.87 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $15,848.93 Median $15,848.93 Typical High $17,782.79 | Professional | None (both parts) | $15,848.93 | $15,848.93 | $17,782.79 |
Medica Setting Facility Modifier None Typical Low $2,041.74 Median $3,162.28 Typical High $5,248.07 | Facility | None | $2,041.74 | $3,162.28 | $5,248.07 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $3,162.28 Typical High $13,182.57 | Professional | None (both parts) | $1,548.82 | $3,162.28 | $13,182.57 |
Network Health Setting Facility Modifier None Typical Low $2,884.03 Median $3,162.28 Typical High $3,162.28 | Facility | None | $2,884.03 | $3,162.28 | $3,162.28 |
Network Health Setting Professional Modifier None (both parts) Typical Low $2,630.27 Median $3,981.07 Typical High $4,466.84 | Professional | None (both parts) | $2,630.27 | $3,981.07 | $4,466.84 |
Prevea360 Setting Facility Modifier None Typical Low $2,041.74 Median $3,162.28 Typical High $5,248.07 | Facility | None | $2,041.74 | $3,162.28 | $5,248.07 |
Quartz Setting Professional Modifier None Typical Low $2,951.21 Median $6,165.95 Typical High $7,943.28 | Professional | None | $2,951.21 | $6,165.95 | $7,943.28 |
Quartz Setting Professional Modifier None (both parts) Typical Low $3,235.94 Median $3,235.94 Typical High $3,801.89 | Professional | None (both parts) | $3,235.94 | $3,235.94 | $3,801.89 |
Security Health Setting Professional Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Professional | None | $5,623.41 | $5,623.41 | $5,623.41 |
Security Health Setting Professional Modifier None (both parts) Typical Low $14,454.40 Median $14,454.40 Typical High $14,454.40 | Professional | None (both parts) | $14,454.40 | $14,454.40 | $14,454.40 |
United Setting Facility Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
United Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,862.09 Typical High $8,128.31 | Professional | None (both parts) | $1,122.02 | $1,862.09 | $8,128.31 |
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 $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | 26 · Professional part | $3,162.28 | $3,162.28 | $3,162.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | 26 · Professional part | $3,162.28 | $3,162.28 | $3,162.28 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,584.89 Median $1,584.89 Typical High $2,041.74 | Professional | 52 · Reduced service | $1,584.89 | $1,584.89 | $2,041.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $630.96 Typical High $812.83 | Professional | 53 · Discontinued | $630.96 | $630.96 | $812.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $13,489.63 Median $13,489.63 Typical High $13,489.63 | Professional | TC · Technical part | $13,489.63 | $13,489.63 | $13,489.63 |
Where Wisconsin sits
The same service costs 31.6 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· 3rd of 51
$4,365
TX $13,183OH $417
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.