How much rates vary
Facilitymedian $15,488 · 10th to 90th $6,310 to $27,542Professionalmedian $10,233 · 10th to 90th $3,162 to $26,303
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 $4,677.35 Median $11,748.98 Typical High $11,748.98 | Professional | None (both parts) | $4,677.35 | $11,748.98 | $11,748.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $6,309.57 Median $11,748.98 Typical High $28,840.32 | Professional | None (both parts) | $6,309.57 | $11,748.98 | $28,840.32 |
Cigna Setting Facility Modifier None Typical Low $13,182.57 Median $15,135.61 Typical High $19,952.62 | Facility | None | $13,182.57 | $15,135.61 | $19,952.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $6,456.54 Median $14,454.40 Typical High $16,218.10 | Professional | None (both parts) | $6,456.54 | $14,454.40 | $16,218.10 |
DeanCare Setting Facility Modifier None Typical Low $6,309.57 Median $24,547.09 Typical High $33,113.11 | Facility | None | $6,309.57 | $24,547.09 | $33,113.11 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $31,622.78 Median $31,622.78 Typical High $34,673.69 | Professional | None (both parts) | $31,622.78 | $31,622.78 | $34,673.69 |
Medica Setting Facility Modifier None Typical Low $3,981.07 Median $6,309.57 Typical High $10,471.29 | Facility | None | $3,981.07 | $6,309.57 | $10,471.29 |
Medica Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $6,309.57 Typical High $26,302.68 | Professional | None (both parts) | $3,019.95 | $6,309.57 | $26,302.68 |
Network Health Setting Facility Modifier None Typical Low $5,623.41 Median $6,309.57 Typical High $15,135.61 | Facility | None | $5,623.41 | $6,309.57 | $15,135.61 |
Network Health Setting Professional Modifier None (both parts) Typical Low $5,248.07 Median $7,762.47 Typical High $8,912.51 | Professional | None (both parts) | $5,248.07 | $7,762.47 | $8,912.51 |
Prevea360 Setting Facility Modifier None Typical Low $3,981.07 Median $6,309.57 Typical High $10,471.29 | Facility | None | $3,981.07 | $6,309.57 | $10,471.29 |
Quartz Setting Professional Modifier None Typical Low $5,754.40 Median $12,022.64 Typical High $15,848.93 | Professional | None | $5,754.40 | $12,022.64 | $15,848.93 |
Quartz Setting Professional Modifier None (both parts) Typical Low $6,456.54 Median $6,456.54 Typical High $13,489.63 | Professional | None (both parts) | $6,456.54 | $6,456.54 | $13,489.63 |
Security Health Setting Professional Modifier None Typical Low $11,220.18 Median $11,220.18 Typical High $11,220.18 | Professional | None | $11,220.18 | $11,220.18 | $11,220.18 |
Security Health Setting Professional Modifier None (both parts) Typical Low $28,840.32 Median $28,840.32 Typical High $28,840.32 | Professional | None (both parts) | $28,840.32 | $28,840.32 | $28,840.32 |
United Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $3,630.78 Typical High $16,218.10 | Professional | None (both parts) | $2,187.76 | $3,630.78 | $16,218.10 |
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 $6,309.57 Median $6,309.57 Typical High $6,309.57 | Facility | 26 · Professional part | $6,309.57 | $6,309.57 | $6,309.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6,309.57 Median $6,309.57 Typical High $6,309.57 | Professional | 26 · Professional part | $6,309.57 | $6,309.57 | $6,309.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3,162.28 Median $3,162.28 Typical High $5,754.40 | Professional | 52 · Reduced service | $3,162.28 | $3,162.28 | $5,754.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,258.93 Median $1,258.93 Typical High $2,344.23 | Professional | 53 · Discontinued | $1,258.93 | $1,258.93 | $2,344.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26,915.35 Median $26,915.35 Typical High $26,915.35 | Professional | TC · Technical part | $26,915.35 | $26,915.35 | $26,915.35 |
Where Wisconsin sits
The same service costs 416.9 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
$10,965
TX $26,303AL $63.10
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.