How much rates vary
Facilitymedian $5,623 · 10th to 90th $2,291 to $10,000Professionalmedian $3,236 · 10th to 90th $1,148 to $9,550
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 $2,290.87 Typical High $2,290.87 | Professional | None (both parts) | $2,290.87 | $2,290.87 | $2,290.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $2,290.87 Median $6,309.57 Typical High $10,471.29 | Professional | None (both parts) | $2,290.87 | $6,309.57 | $10,471.29 |
Cigna Setting Facility Modifier None Typical Low $4,786.30 Median $5,623.41 Typical High $7,244.36 | Facility | None | $4,786.30 | $5,623.41 | $7,244.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,344.23 Median $5,248.07 Typical High $5,888.44 | Professional | None (both parts) | $2,344.23 | $5,248.07 | $5,888.44 |
DeanCare Setting Facility Modifier None Typical Low $2,290.87 Median $8,912.51 Typical High $12,022.64 | Facility | None | $2,290.87 | $8,912.51 | $12,022.64 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $11,481.54 Median $11,481.54 Typical High $12,589.25 | Professional | None (both parts) | $11,481.54 | $11,481.54 | $12,589.25 |
Medica Setting Facility Modifier None Typical Low $1,479.11 Median $2,290.87 Typical High $3,801.89 | Facility | None | $1,479.11 | $2,290.87 | $3,801.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $2,290.87 Typical High $9,549.93 | Professional | None (both parts) | $1,096.48 | $2,290.87 | $9,549.93 |
Network Health Setting Facility Modifier None Typical Low $2,041.74 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,041.74 | $2,290.87 | $2,290.87 |
Network Health Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $2,818.38 Typical High $3,235.94 | Professional | None (both parts) | $1,905.46 | $2,818.38 | $3,235.94 |
Prevea360 Setting Facility Modifier None Typical Low $1,479.11 Median $2,290.87 Typical High $3,801.89 | Facility | None | $1,479.11 | $2,290.87 | $3,801.89 |
Quartz Setting Professional Modifier None Typical Low $2,089.30 Median $4,365.16 Typical High $5,754.40 | Professional | None | $2,089.30 | $4,365.16 | $5,754.40 |
Quartz Setting Professional Modifier None (both parts) Typical Low $2,344.23 Median $2,344.23 Typical High $2,754.23 | Professional | None (both parts) | $2,344.23 | $2,344.23 | $2,754.23 |
Security Health Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | None | $4,073.80 | $4,073.80 | $4,073.80 |
Security Health Setting Professional Modifier None (both parts) Typical Low $10,471.29 Median $10,471.29 Typical High $10,471.29 | Professional | None (both parts) | $10,471.29 | $10,471.29 | $10,471.29 |
United Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,318.26 Typical High $5,888.44 | Professional | None (both parts) | $794.33 | $1,318.26 | $5,888.44 |
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 $457.09 Median $457.09 Typical High $457.09 | Facility | 53 · Discontinued | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | 26 · Professional part | $2,290.87 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | 52 · Reduced service | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 53 · Discontinued | $457.09 | $457.09 | $457.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $9,772.37 Median $9,772.37 Typical High $9,772.37 | Professional | TC · Technical part | $9,772.37 | $9,772.37 | $9,772.37 |
Where Wisconsin sits
The same service costs 12.0 times more in Texas than in New Mexico. 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
$3,715
TX $9,550NM $794
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.