How much rates vary
Facilitymedian $741 · 10th to 90th $309 to $1,318Professionalmedian $398 · 10th to 90th $155 to $1,288
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 Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $398.11 | Professional | None (both parts) | $309.03 | $309.03 | $398.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $588.84 Typical High $1,445.44 | Professional | None (both parts) | $309.03 | $588.84 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $758.58 Typical High $1,000.00 | Facility | None | $660.69 | $758.58 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $707.95 Typical High $812.83 | Professional | None (both parts) | $323.59 | $707.95 | $812.83 |
DeanCare Setting Facility Modifier None Typical Low $309.03 Median $1,230.27 Typical High $1,659.59 | Facility | None | $309.03 | $1,230.27 | $1,659.59 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,548.82 Typical High $1,737.80 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $309.03 Typical High $524.81 | Facility | None | $199.53 | $309.03 | $524.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $151.36 Median $309.03 Typical High $1,288.25 | Professional | None (both parts) | $151.36 | $309.03 | $1,288.25 |
Network Health Setting Facility Modifier None Typical Low $281.84 Median $309.03 Typical High $741.31 | Facility | None | $281.84 | $309.03 | $741.31 |
Network Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $389.05 Typical High $446.68 | Professional | None (both parts) | $263.03 | $389.05 | $446.68 |
Prevea360 Setting Facility Modifier None Typical Low $199.53 Median $309.03 Typical High $524.81 | Facility | None | $199.53 | $309.03 | $524.81 |
Quartz Setting Professional Modifier None Typical Low $288.40 Median $602.56 Typical High $776.25 | Professional | None | $288.40 | $602.56 | $776.25 |
Quartz Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $676.08 | Professional | None (both parts) | $323.59 | $323.59 | $676.08 |
Security Health Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Security Health Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None (both parts) | $1,412.54 | $1,412.54 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $181.97 Typical High $794.33 | Professional | None (both parts) | $109.65 | $181.97 | $794.33 |
4 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 Professional Modifier 26 · Professional part Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 26 · Professional part | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $154.88 Typical High $199.53 | Professional | 52 · Reduced service | $154.88 | $154.88 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $79.43 | Professional | 53 · Discontinued | $63.10 | $63.10 | $79.43 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | TC · Technical part | $1,318.26 | $1,318.26 | $1,318.26 |
Where Wisconsin sits
The same service costs 5.4 times more in Alaska 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· 2nd of 51
$427
AK $589OH $110
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.