How much rates vary
Facilitymedian $1,288 · 10th to 90th $117 to $3,802Professionalmedian $269 · 10th to 90th $87 to $562
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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $1,096.48 | Professional | None (both parts) | $77.62 | $77.62 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $338.84 | Professional | 26 · Professional part | $38.90 | $38.90 | $338.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $58.88 | Professional | TC · Technical part | $38.90 | $38.90 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,174.90 Median $2,754.23 Typical High $4,897.79 | Facility | None | $1,174.90 | $2,754.23 | $4,897.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $316.23 Typical High $562.34 | Professional | None (both parts) | $95.50 | $316.23 | $562.34 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $165.96 Typical High $295.12 | Professional | 26 · Professional part | $52.48 | $165.96 | $295.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $147.91 Typical High $288.40 | Professional | TC · Technical part | $47.86 | $147.91 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $223.87 Typical High $758.58 | Facility | None | $91.20 | $223.87 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $199.53 Typical High $389.05 | Professional | None (both parts) | $134.90 | $199.53 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $104.71 Typical High $229.09 | Professional | 26 · Professional part | $70.79 | $104.71 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $104.71 Typical High $229.09 | Professional | TC · Technical part | $72.44 | $104.71 | $229.09 |
DeanCare Setting Facility Modifier None Typical Low $93.33 Median $3,311.31 Typical High $6,025.60 | Facility | None | $93.33 | $3,311.31 | $6,025.60 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $151.36 Median $223.87 Typical High $275.42 | Professional | None (both parts) | $151.36 | $223.87 | $275.42 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $954.99 Typical High $1,778.28 | Facility | None | $154.88 | $954.99 | $1,778.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $97.72 Median $257.04 Typical High $575.44 | Professional | None (both parts) | $97.72 | $257.04 | $575.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $141.25 Typical High $323.59 | Professional | 26 · Professional part | $50.12 | $141.25 | $323.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $123.03 Typical High $295.12 | Professional | TC · Technical part | $43.65 | $123.03 | $295.12 |
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 $123.03 Median $213.80 Typical High $380.19 | Professional | None (both parts) | $123.03 | $213.80 | $380.19 |
Prevea360 Setting Facility Modifier None Typical Low $74.13 Median $93.33 Typical High $173.78 | Facility | None | $74.13 | $93.33 | $173.78 |
Quartz Setting Professional Modifier None Typical Low $114.82 Median $239.88 Typical High $363.08 | Professional | None | $114.82 | $239.88 | $363.08 |
Quartz Setting Facility Modifier None Typical Low $89.13 Median $134.90 Typical High $1,096.48 | Facility | None | $89.13 | $134.90 | $1,096.48 |
Quartz Setting Professional Modifier None (both parts) Typical Low $147.91 Median $162.18 Typical High $302.00 | Professional | None (both parts) | $147.91 | $162.18 | $302.00 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $79.43 Typical High $199.53 | Professional | 26 · Professional part | $75.86 | $79.43 | $199.53 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $81.28 Typical High $186.21 | Professional | TC · Technical part | $74.13 | $81.28 | $186.21 |
Security Health Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
Security Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $478.63 Typical High $575.44 | Professional | None (both parts) | $295.12 | $478.63 | $575.44 |
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 $95.50 Median $239.88 Typical High $436.52 | Professional | None (both parts) | $95.50 | $239.88 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $131.83 Typical High $239.88 | Professional | 26 · Professional part | $48.98 | $131.83 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $109.65 Typical High $213.80 | Professional | TC · Technical part | $45.71 | $109.65 | $213.80 |
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 52 · Reduced service Typical Low $38.90 Median $38.90 Typical High $562.34 | Professional | 52 · Reduced service | $38.90 | $38.90 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $223.87 | Professional | 53 · Discontinued | $15.49 | $15.49 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $11.75 Typical High $165.96 | Professional | 55 · Aftercare only | $11.75 | $11.75 | $165.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.76 Median $7.76 Typical High $112.20 | Professional | 56 · Pre-op care only | $7.76 | $7.76 | $112.20 |
Where Wisconsin sits
The same service costs 5.9 times more in Alaska 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· 2nd of 51
$331
AK $331AL $56.23
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.