How much rates vary
Facilitymedian $1,820 · 10th to 90th $759 to $3,236Professionalmedian $933 · 10th to 90th $257 to $3,090
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 $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $758.58 | $758.58 | $758.58 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $257.04 Median $1,071.52 Typical High $3,388.44 | Professional | None (both parts) | $257.04 | $1,071.52 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $1,862.09 Typical High $2,454.71 | Facility | None | $1,584.89 | $1,862.09 | $2,454.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,737.80 Typical High $1,995.26 | Professional | None (both parts) | $776.25 | $1,737.80 | $1,995.26 |
DeanCare Setting Facility Modifier None Typical Low $758.58 Median $3,019.95 Typical High $3,981.07 | Facility | None | $758.58 | $3,019.95 | $3,981.07 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $3,801.89 Median $3,801.89 Typical High $4,265.80 | Professional | None (both parts) | $3,801.89 | $3,801.89 | $4,265.80 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $758.58 Typical High $1,258.93 | Facility | None | $489.78 | $758.58 | $1,258.93 |
Medica Setting Professional Modifier None (both parts) Typical Low $371.54 Median $758.58 Typical High $3,162.28 | Professional | None (both parts) | $371.54 | $758.58 | $3,162.28 |
Network Health Setting Facility Modifier None Typical Low $691.83 Median $758.58 Typical High $1,819.70 | Facility | None | $691.83 | $758.58 | $1,819.70 |
Network Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $954.99 Typical High $1,071.52 | Professional | None (both parts) | $630.96 | $954.99 | $1,071.52 |
Prevea360 Setting Facility Modifier None Typical Low $489.78 Median $758.58 Typical High $1,258.93 | Facility | None | $489.78 | $758.58 | $1,258.93 |
Quartz Setting Professional Modifier None Typical Low $707.95 Median $1,479.11 Typical High $1,905.46 | Professional | None | $707.95 | $1,479.11 | $1,905.46 |
Quartz Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $1,659.59 | Professional | None (both parts) | $776.25 | $776.25 | $1,659.59 |
Security Health Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,348.96 | $1,348.96 | $1,348.96 |
Security Health 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 |
United Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $446.68 Typical High $1,949.84 | Professional | None (both parts) | $269.15 | $446.68 | $1,949.84 |
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 $758.58 Median $758.58 Typical High $758.58 | Professional | 26 · Professional part | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 52 · Reduced service | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 53 · Discontinued | $151.36 | $151.36 | $151.36 |
Medica Setting Professional Modifier TC · Technical part Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | TC · Technical part | $3,235.94 | $3,235.94 | $3,235.94 |
Where Wisconsin sits
The same service costs 11.7 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
$955
TX $3,162NM $269
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.