How much rates vary
Facilitymedian $14,791 · 10th to 90th $6,026 to $26,303Professionalmedian $9,333 · 10th to 90th $3,020 to $25,119
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 $6,025.60 Median $6,025.60 Typical High $9,772.37 | Professional | None (both parts) | $6,025.60 | $6,025.60 | $9,772.37 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $6,025.60 Median $16,595.87 Typical High $26,915.35 | Professional | None (both parts) | $6,025.60 | $16,595.87 | $26,915.35 |
Cigna Setting Facility Modifier None Typical Low $12,589.25 Median $14,791.08 Typical High $19,054.61 | Facility | None | $12,589.25 | $14,791.08 | $19,054.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $6,165.95 Median $13,803.84 Typical High $15,488.17 | Professional | None (both parts) | $6,165.95 | $13,803.84 | $15,488.17 |
DeanCare Setting Facility Modifier None Typical Low $6,025.60 Median $23,442.29 Typical High $31,622.78 | Facility | None | $6,025.60 | $23,442.29 | $31,622.78 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $30,199.52 Median $30,199.52 Typical High $33,113.11 | Professional | None (both parts) | $30,199.52 | $30,199.52 | $33,113.11 |
Medica Setting Facility Modifier None Typical Low $3,890.45 Median $6,025.60 Typical High $10,000.00 | Facility | None | $3,890.45 | $6,025.60 | $10,000.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $6,025.60 Typical High $25,118.86 | Professional | None (both parts) | $2,884.03 | $6,025.60 | $25,118.86 |
Network Health Setting Facility Modifier None Typical Low $5,370.32 Median $6,025.60 Typical High $6,025.60 | Facility | None | $5,370.32 | $6,025.60 | $6,025.60 |
Network Health Setting Professional Modifier None (both parts) Typical Low $5,011.87 Median $7,585.78 Typical High $8,511.38 | Professional | None (both parts) | $5,011.87 | $7,585.78 | $8,511.38 |
Prevea360 Setting Facility Modifier None Typical Low $3,890.45 Median $6,025.60 Typical High $10,000.00 | Facility | None | $3,890.45 | $6,025.60 | $10,000.00 |
Quartz Setting Professional Modifier None Typical Low $5,495.41 Median $11,481.54 Typical High $15,135.61 | Professional | None | $5,495.41 | $11,481.54 | $15,135.61 |
Quartz Setting Professional Modifier None (both parts) Typical Low $6,165.95 Median $6,165.95 Typical High $7,244.36 | Professional | None (both parts) | $6,165.95 | $6,165.95 | $7,244.36 |
Security Health Setting Professional Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $10,715.19 | Professional | None | $5,011.87 | $5,011.87 | $10,715.19 |
Security Health Setting Professional Modifier None (both parts) Typical Low $5,011.87 Median $5,011.87 Typical High $27,542.29 | Professional | None (both parts) | $5,011.87 | $5,011.87 | $27,542.29 |
United Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $3,467.37 Typical High $15,488.17 | Professional | None (both parts) | $2,089.30 | $3,467.37 | $15,488.17 |
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 $6,025.60 Median $6,025.60 Typical High $6,025.60 | Facility | 26 · Professional part | $6,025.60 | $6,025.60 | $6,025.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6,025.60 Median $6,025.60 Typical High $6,025.60 | Professional | 26 · Professional part | $6,025.60 | $6,025.60 | $6,025.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3,019.95 Median $3,019.95 Typical High $4,897.79 | Professional | 52 · Reduced service | $3,019.95 | $3,019.95 | $4,897.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,202.26 Median $1,202.26 Typical High $1,949.84 | Professional | 53 · Discontinued | $1,202.26 | $1,202.26 | $1,949.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $25,703.96 Median $25,703.96 Typical High $25,703.96 | Professional | TC · Technical part | $25,703.96 | $25,703.96 | $25,703.96 |
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· 3rd of 51
$9,772
TX $25,119AL $2,089
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.