How much rates vary
Facilitymedian $7,586 · 10th to 90th $3,090 to $13,804Professionalmedian $5,012 · 10th to 90th $1,549 to $12,882
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 $2,290.87 Median $6,606.93 Typical High $6,606.93 | Professional | None (both parts) | $2,290.87 | $6,606.93 | $6,606.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $3,090.30 Median $5,754.40 Typical High $14,454.40 | Professional | None (both parts) | $3,090.30 | $5,754.40 | $14,454.40 |
Cigna Setting Facility Modifier None Typical Low $6,456.54 Median $7,585.78 Typical High $10,000.00 | Facility | None | $6,456.54 | $7,585.78 | $10,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $7,079.46 Typical High $8,128.31 | Professional | None (both parts) | $3,162.28 | $7,079.46 | $8,128.31 |
DeanCare Setting Facility Modifier None Typical Low $3,090.30 Median $12,022.64 Typical High $16,218.10 | Facility | None | $3,090.30 | $12,022.64 | $16,218.10 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $15,488.17 Median $15,488.17 Typical High $16,982.44 | Professional | None (both parts) | $15,488.17 | $15,488.17 | $16,982.44 |
Medica Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $5,128.61 | Facility | None | $1,995.26 | $3,090.30 | $5,128.61 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $3,090.30 Typical High $12,882.50 | Professional | None (both parts) | $1,479.11 | $3,090.30 | $12,882.50 |
Network Health Setting Facility Modifier None Typical Low $2,754.23 Median $3,090.30 Typical High $7,413.10 | Facility | None | $2,754.23 | $3,090.30 | $7,413.10 |
Network Health Setting Professional Modifier None (both parts) Typical Low $2,570.40 Median $3,890.45 Typical High $4,365.16 | Professional | None (both parts) | $2,570.40 | $3,890.45 | $4,365.16 |
Prevea360 Setting Facility Modifier None Typical Low $1,995.26 Median $3,090.30 Typical High $5,128.61 | Facility | None | $1,995.26 | $3,090.30 | $5,128.61 |
Quartz Setting Professional Modifier None Typical Low $2,884.03 Median $5,888.44 Typical High $7,762.47 | Professional | None | $2,884.03 | $5,888.44 | $7,762.47 |
Quartz Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $3,162.28 Typical High $6,760.83 | Professional | None (both parts) | $3,162.28 | $3,162.28 | $6,760.83 |
Security Health Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Professional | None | $5,495.41 | $5,495.41 | $5,495.41 |
Security Health Setting Professional Modifier None (both parts) Typical Low $14,125.38 Median $14,125.38 Typical High $14,125.38 | Professional | None (both parts) | $14,125.38 | $14,125.38 | $14,125.38 |
United Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,819.70 Typical High $7,943.28 | Professional | None (both parts) | $1,071.52 | $1,819.70 | $7,943.28 |
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 $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | 26 · Professional part | $3,090.30 | $3,090.30 | $3,090.30 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Professional | 26 · Professional part | $3,090.30 | $3,090.30 | $3,090.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,548.82 Median $1,548.82 Typical High $3,311.31 | Professional | 52 · Reduced service | $1,548.82 | $1,548.82 | $3,311.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $616.60 Median $616.60 Typical High $1,318.26 | Professional | 53 · Discontinued | $616.60 | $616.60 | $1,318.26 |
Medica Setting Professional Modifier TC · Technical part Typical Low $13,182.57 Median $13,182.57 Typical High $13,182.57 | Professional | TC · Technical part | $13,182.57 | $13,182.57 | $13,182.57 |
Where Wisconsin sits
The same service costs 204.2 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
$5,370
TX $12,882AL $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.