How much rates vary
Facilitymedian $851 · 10th to 90th $219 to $2,344Professionalmedian $692 · 10th to 90th $219 to $1,479
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 $218.78 Median $1,905.46 Typical High $14,454.40 | Facility | None | $218.78 | $1,905.46 | $14,454.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $1,737.80 | Professional | None (both parts) | $218.78 | $218.78 | $1,737.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $398.11 | Professional | 26 · Professional part | $77.62 | $77.62 | $398.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $208.93 | Professional | TC · Technical part | $138.04 | $138.04 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $776.25 Typical High $1,659.59 | Professional | None (both parts) | $269.15 | $776.25 | $1,659.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $288.40 Typical High $588.84 | Professional | 26 · Professional part | $93.33 | $288.40 | $588.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $524.81 Typical High $1,000.00 | Professional | TC · Technical part | $177.83 | $524.81 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $489.78 Typical High $851.14 | Facility | None | $204.17 | $489.78 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $467.74 Typical High $1,000.00 | Professional | None (both parts) | $281.84 | $467.74 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $165.96 Typical High $416.87 | Professional | 26 · Professional part | $102.33 | $165.96 | $416.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $295.12 Typical High $676.08 | Professional | TC · Technical part | $181.97 | $295.12 | $676.08 |
DeanCare Setting Facility Modifier None Typical Low $234.42 Median $2,818.38 Typical High $5,128.61 | Facility | None | $234.42 | $2,818.38 | $5,128.61 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $371.54 Median $549.54 Typical High $616.60 | Professional | None (both parts) | $371.54 | $549.54 | $616.60 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $954.99 Typical High $2,041.74 | Facility | None | $204.17 | $954.99 | $2,041.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $239.88 Median $602.56 Typical High $1,258.93 | Professional | None (both parts) | $239.88 | $602.56 | $1,258.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $251.19 Typical High $588.84 | Professional | 26 · Professional part | $89.13 | $251.19 | $588.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $398.11 Typical High $1,122.02 | Professional | TC · Technical part | $147.91 | $398.11 | $1,122.02 |
Network Health Setting Facility Modifier None Typical Low $831.76 Median $933.25 Typical High $2,344.23 | Facility | None | $831.76 | $933.25 | $2,344.23 |
Network Health Setting Professional Modifier None (both parts) Typical Low $302.00 Median $524.81 Typical High $776.25 | Professional | None (both parts) | $302.00 | $524.81 | $776.25 |
Prevea360 Setting Facility Modifier None Typical Low $190.55 Median $245.47 Typical High $426.58 | Facility | None | $190.55 | $245.47 | $426.58 |
Quartz Setting Professional Modifier None Typical Low $218.78 Median $501.19 Typical High $1,000.00 | Professional | None | $218.78 | $501.19 | $1,000.00 |
Quartz Setting Facility Modifier None Typical Low $199.53 Median $309.03 Typical High $831.76 | Facility | None | $199.53 | $309.03 | $831.76 |
Quartz Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $676.08 | Professional | None (both parts) | $281.84 | $281.84 | $676.08 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $251.19 | Professional | 26 · Professional part | $102.33 | $102.33 | $251.19 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $524.81 | Professional | TC · Technical part | $181.97 | $181.97 | $524.81 |
Security Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Security Health Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,380.38 Typical High $1,778.28 | Professional | None (both parts) | $933.25 | $1,380.38 | $1,778.28 |
United Setting Facility Modifier None Typical Low $218.78 Median $1,148.15 Typical High $1,862.09 | Facility | None | $218.78 | $1,148.15 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $588.84 Typical High $1,174.90 | Professional | None (both parts) | $213.80 | $588.84 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $218.78 Typical High $380.19 | Professional | 26 · Professional part | $75.86 | $218.78 | $380.19 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $363.08 Typical High $758.58 | Professional | TC · Technical part | $131.83 | $363.08 | $758.58 |
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 $109.65 Median $109.65 Typical High $851.14 | Professional | 52 · Reduced service | $109.65 | $109.65 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $346.74 | Professional | 53 · Discontinued | $43.65 | $43.65 | $346.74 |
Where Wisconsin sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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· 1st of 51
$708
WI $708UT $135
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.