How much rates vary
Facilitymedian $10,233 · 10th to 90th $4,169 to $18,197Professionalmedian $6,918 · 10th to 90th $2,042 to $16,982
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 $4,168.69 Median $4,168.69 Typical High $7,244.36 | Professional | None (both parts) | $4,168.69 | $4,168.69 | $7,244.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $4,168.69 Median $11,481.54 Typical High $18,197.01 | Professional | None (both parts) | $4,168.69 | $11,481.54 | $18,197.01 |
Cigna Setting Facility Modifier None Typical Low $8,709.64 Median $10,000.00 Typical High $13,182.57 | Facility | None | $8,709.64 | $10,000.00 | $13,182.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $4,265.80 Median $9,549.93 Typical High $10,715.19 | Professional | None (both parts) | $4,265.80 | $9,549.93 | $10,715.19 |
DeanCare Setting Facility Modifier None Typical Low $4,168.69 Median $16,218.10 Typical High $21,877.62 | Facility | None | $4,168.69 | $16,218.10 | $21,877.62 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $20,417.38 Median $20,417.38 Typical High $22,908.68 | Professional | None (both parts) | $20,417.38 | $20,417.38 | $22,908.68 |
Medica Setting Facility Modifier None Typical Low $2,630.27 Median $4,168.69 Typical High $6,918.31 | Facility | None | $2,630.27 | $4,168.69 | $6,918.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $4,168.69 Typical High $16,982.44 | Professional | None (both parts) | $1,995.26 | $4,168.69 | $16,982.44 |
Network Health Setting Facility Modifier None Typical Low $3,715.35 Median $4,168.69 Typical High $4,168.69 | Facility | None | $3,715.35 | $4,168.69 | $4,168.69 |
Network Health Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $5,128.61 Typical High $5,888.44 | Professional | None (both parts) | $3,467.37 | $5,128.61 | $5,888.44 |
Prevea360 Setting Facility Modifier None Typical Low $2,630.27 Median $4,168.69 Typical High $6,918.31 | Facility | None | $2,630.27 | $4,168.69 | $6,918.31 |
Quartz Setting Professional Modifier None Typical Low $3,801.89 Median $7,943.28 Typical High $10,232.93 | Professional | None | $3,801.89 | $7,943.28 | $10,232.93 |
Quartz Setting Professional Modifier None (both parts) Typical Low $4,265.80 Median $4,265.80 Typical High $5,011.87 | Professional | None (both parts) | $4,265.80 | $4,265.80 | $5,011.87 |
Security Health Setting Professional Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $7,244.36 | Professional | None | $7,244.36 | $7,244.36 | $7,244.36 |
Security Health Setting Professional Modifier None (both parts) Typical Low $18,620.87 Median $18,620.87 Typical High $18,620.87 | Professional | None (both parts) | $18,620.87 | $18,620.87 | $18,620.87 |
United Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $2,398.83 Typical High $10,715.19 | Professional | None (both parts) | $1,445.44 | $2,398.83 | $10,715.19 |
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 $831.76 Median $831.76 Typical High $831.76 | Facility | 53 · Discontinued | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Professional | 26 · Professional part | $4,168.69 | $4,168.69 | $4,168.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2,041.74 Median $2,041.74 Typical High $3,630.78 | Professional | 52 · Reduced service | $2,041.74 | $2,041.74 | $3,630.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $831.76 Median $831.76 Typical High $1,479.11 | Professional | 53 · Discontinued | $831.76 | $831.76 | $1,479.11 |
Medica Setting Professional Modifier TC · Technical part Typical Low $17,782.79 Median $17,782.79 Typical High $17,782.79 | Professional | TC · Technical part | $17,782.79 | $17,782.79 | $17,782.79 |
Where Wisconsin sits
The same service costs 35.5 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
$7,244
TX $16,982OH $479
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.