How much rates vary
Facilitymedian $3,981 · 10th to 90th $1,622 to $7,079Professionalmedian $2,570 · 10th to 90th $794 to $6,607
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 $1,202.26 Median $2,691.53 Typical High $2,691.53 | Professional | None (both parts) | $1,202.26 | $2,691.53 | $2,691.53 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $3,019.95 Typical High $7,413.10 | Professional | None (both parts) | $1,621.81 | $3,019.95 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $3,311.31 Median $3,890.45 Typical High $5,128.61 | Facility | None | $3,311.31 | $3,890.45 | $5,128.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $3,630.78 Typical High $4,168.69 | Professional | None (both parts) | $1,659.59 | $3,630.78 | $4,168.69 |
DeanCare Setting Facility Modifier None Typical Low $1,621.81 Median $6,309.57 Typical High $8,511.38 | Facility | None | $1,621.81 | $6,309.57 | $8,511.38 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $7,943.28 Median $7,943.28 Typical High $8,912.51 | Professional | None (both parts) | $7,943.28 | $7,943.28 | $8,912.51 |
Medica Setting Facility Modifier None Typical Low $1,023.29 Median $1,621.81 Typical High $2,691.53 | Facility | None | $1,023.29 | $1,621.81 | $2,691.53 |
Medica Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,621.81 Typical High $6,606.93 | Professional | None (both parts) | $776.25 | $1,621.81 | $6,606.93 |
Network Health Setting Facility Modifier None Typical Low $1,445.44 Median $1,621.81 Typical High $3,801.89 | Facility | None | $1,445.44 | $1,621.81 | $3,801.89 |
Network Health Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,995.26 Typical High $2,290.87 | Professional | None (both parts) | $1,348.96 | $1,995.26 | $2,290.87 |
Prevea360 Setting Facility Modifier None Typical Low $1,023.29 Median $1,621.81 Typical High $2,691.53 | Facility | None | $1,023.29 | $1,621.81 | $2,691.53 |
Quartz Setting Professional Modifier None Typical Low $1,479.11 Median $3,090.30 Typical High $3,981.07 | Professional | None | $1,479.11 | $3,090.30 | $3,981.07 |
Quartz Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,659.59 Typical High $3,467.37 | Professional | None (both parts) | $1,659.59 | $1,659.59 | $3,467.37 |
Security Health Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,818.38 | $2,818.38 | $2,818.38 |
Security Health Setting Professional Modifier None (both parts) Typical Low $7,244.36 Median $7,244.36 Typical High $7,244.36 | Professional | None (both parts) | $7,244.36 | $7,244.36 | $7,244.36 |
United Setting Professional Modifier None (both parts) Typical Low $562.34 Median $933.25 Typical High $4,073.80 | Professional | None (both parts) | $562.34 | $933.25 | $4,073.80 |
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 $323.59 Median $323.59 Typical High $323.59 | Facility | 53 · Discontinued | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | 26 · Professional part | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $794.33 Median $794.33 Typical High $1,348.96 | Professional | 52 · Reduced service | $794.33 | $794.33 | $1,348.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $323.59 Median $323.59 Typical High $537.03 | Professional | 53 · Discontinued | $323.59 | $323.59 | $537.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $6,760.83 Median $6,760.83 Typical High $6,760.83 | Professional | TC · Technical part | $6,760.83 | $6,760.83 | $6,760.83 |
Where Wisconsin sits
The same service costs 104.7 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
$2,692
TX $6,607AL $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.