How much rates vary
Facilitymedian $6,310 · 10th to 90th $2,570 to $11,220Professionalmedian $4,169 · 10th to 90th $1,288 to $10,471
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 $1,584.89 Median $1,698.24 Typical High $2,041.74 | Professional | None (both parts) | $1,584.89 | $1,698.24 | $2,041.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $2,570.40 Median $5,495.41 Typical High $11,748.98 | Professional | None (both parts) | $2,570.40 | $5,495.41 | $11,748.98 |
Cigna Setting Facility Modifier None Typical Low $5,370.32 Median $6,165.95 Typical High $8,128.31 | Facility | None | $5,370.32 | $6,165.95 | $8,128.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,630.27 Median $5,888.44 Typical High $6,606.93 | Professional | None (both parts) | $2,630.27 | $5,888.44 | $6,606.93 |
DeanCare Setting Facility Modifier None Typical Low $2,570.40 Median $10,000.00 Typical High $13,489.63 | Facility | None | $2,570.40 | $10,000.00 | $13,489.63 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $12,882.50 Median $12,882.50 Typical High $14,125.38 | Professional | None (both parts) | $12,882.50 | $12,882.50 | $14,125.38 |
Medica Setting Facility Modifier None Typical Low $1,621.81 Median $2,570.40 Typical High $4,265.80 | Facility | None | $1,621.81 | $2,570.40 | $4,265.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $2,570.40 Typical High $10,471.29 | Professional | None (both parts) | $1,230.27 | $2,570.40 | $10,471.29 |
Network Health Setting Facility Modifier None Typical Low $2,290.87 Median $2,570.40 Typical High $6,025.60 | Facility | None | $2,290.87 | $2,570.40 | $6,025.60 |
Network Health Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $3,162.28 Typical High $3,630.78 | Professional | None (both parts) | $2,137.96 | $3,162.28 | $3,630.78 |
Prevea360 Setting Facility Modifier None Typical Low $1,621.81 Median $2,570.40 Typical High $4,265.80 | Facility | None | $1,621.81 | $2,570.40 | $4,265.80 |
Quartz Setting Professional Modifier None Typical Low $2,344.23 Median $4,897.79 Typical High $6,456.54 | Professional | None | $2,344.23 | $4,897.79 | $6,456.54 |
Quartz Setting Professional Modifier None (both parts) Typical Low $2,630.27 Median $2,630.27 Typical High $5,495.41 | Professional | None (both parts) | $2,630.27 | $2,630.27 | $5,495.41 |
Security Health Setting Professional Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $4,570.88 | Professional | None | $4,570.88 | $4,570.88 | $4,570.88 |
Security Health Setting Professional Modifier None (both parts) Typical Low $11,481.54 Median $11,481.54 Typical High $11,481.54 | Professional | None (both parts) | $11,481.54 | $11,481.54 | $11,481.54 |
United Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,479.11 Typical High $6,606.93 | Professional | None (both parts) | $891.25 | $1,479.11 | $6,606.93 |
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 $512.86 Median $512.86 Typical High $512.86 | Facility | 53 · Discontinued | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | 26 · Professional part | $2,570.40 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | 52 · Reduced service | $1,288.25 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 53 · Discontinued | $512.86 | $512.86 | $512.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $10,964.78 Median $10,964.78 Typical High $10,964.78 | Professional | TC · Technical part | $10,964.78 | $10,964.78 | $10,964.78 |
Where Wisconsin sits
The same service costs 229.1 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 $10,471OH $45.71
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.