How much rates vary
Facilitymedian $63 · 10th to 90th $48 to $170Professionalmedian $79 · 10th to 90th $48 to $372
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $23.99 | $23.99 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | TC · Technical part | $24.55 | $24.55 | $24.55 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $47.86 Median $70.79 Typical High $371.54 | Professional | None (both parts) | $47.86 | $70.79 | $371.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $40.74 Typical High $186.21 | Professional | 26 · Professional part | $23.99 | $40.74 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $39.81 Typical High $190.55 | Professional | TC · Technical part | $23.44 | $39.81 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $165.96 Typical High $245.47 | Facility | None | $144.54 | $165.96 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $75.86 Typical High $97.72 | Professional | None (both parts) | $60.26 | $75.86 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $32.36 Typical High $43.65 | Professional | 26 · Professional part | $25.70 | $32.36 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $42.66 Typical High $54.95 | Professional | TC · Technical part | $34.67 | $42.66 | $54.95 |
DeanCare Setting Facility Modifier None Typical Low $45.71 Median $60.26 Typical High $117.49 | Facility | None | $45.71 | $60.26 | $117.49 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
Medica Setting Facility Modifier None Typical Low $45.71 Median $60.26 Typical High $112.20 | Facility | None | $45.71 | $60.26 | $112.20 |
Medica Setting Professional Modifier None (both parts) Typical Low $47.86 Median $151.36 Typical High $389.05 | Professional | None (both parts) | $47.86 | $151.36 | $389.05 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $75.86 Typical High $194.98 | Professional | 26 · Professional part | $22.39 | $75.86 | $194.98 |
Medica Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $75.86 Typical High $194.98 | Professional | TC · Technical part | $23.99 | $75.86 | $194.98 |
Prevea360 Setting Facility Modifier None Typical Low $45.71 Median $60.26 Typical High $117.49 | Facility | None | $45.71 | $60.26 | $117.49 |
Quartz Setting Professional Modifier None Typical Low $58.88 Median $102.33 Typical High $147.91 | Professional | None | $58.88 | $102.33 | $147.91 |
Quartz Setting Professional Modifier None (both parts) Typical Low $61.66 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $61.66 | $64.57 | $64.57 |
Security Health Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $74.13 | $74.13 | $74.13 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $95.50 | $95.50 | $95.50 |
Security Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $363.08 Typical High $457.09 | Professional | None (both parts) | $239.88 | $363.08 | $457.09 |
United Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $91.20 Typical High $275.42 | Professional | None (both parts) | $45.71 | $91.20 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $45.71 Typical High $138.04 | Professional | 26 · Professional part | $22.91 | $45.71 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $45.71 Typical High $138.04 | Professional | TC · Technical part | $22.91 | $45.71 | $138.04 |
2 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 52 · Reduced service Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $23.99 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $9.77 | $9.77 | $9.77 |
Where Wisconsin sits
The same service costs 4.2 times more in Nebraska than in Arkansas. 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
$77.62
NE $105AR $25.12
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.