How much rates vary
Facilitymedian $100 · 10th to 90th $43 to $200Professionalmedian $87 · 10th to 90th $31 to $302
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 $42.66 Median $42.66 Typical High $199.53 | Facility | None | $42.66 | $42.66 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $354.81 | Professional | None (both parts) | $42.66 | $42.66 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $112.20 | Professional | 26 · Professional part | $15.14 | $15.14 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.92 Typical High $26.92 | Professional | TC · Technical part | $26.30 | $26.92 | $26.92 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $26.92 Median $109.65 Typical High $223.87 | Professional | None (both parts) | $26.92 | $109.65 | $223.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $39.81 Typical High $81.28 | Professional | 26 · Professional part | $9.77 | $39.81 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $70.79 Typical High $144.54 | Professional | TC · Technical part | $17.38 | $70.79 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $169.82 Typical High $251.19 | Facility | None | $147.91 | $169.82 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $43.65 Typical High $204.17 | Professional | None (both parts) | $33.88 | $43.65 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.22 Typical High $47.86 | Professional | 26 · Professional part | $12.02 | $16.22 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.18 Typical High $165.96 | Professional | TC · Technical part | $21.88 | $28.18 | $165.96 |
DeanCare Setting Facility Modifier None Typical Low $9.33 Median $61.66 Typical High $100.00 | Facility | None | $9.33 | $61.66 | $100.00 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $34.67 Median $66.07 Typical High $128.82 | Professional | None (both parts) | $34.67 | $66.07 | $128.82 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $25.12 Typical High $28.18 | Professional | 26 · Professional part | $18.62 | $25.12 | $28.18 |
Medica Setting Facility Modifier None Typical Low $9.33 Median $61.66 Typical High $107.15 | Facility | None | $9.33 | $61.66 | $107.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $54.95 Median $208.93 Typical High $302.00 | Professional | None (both parts) | $54.95 | $208.93 | $302.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $45.71 Typical High $131.83 | Professional | 26 · Professional part | $12.59 | $45.71 | $131.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $162.18 Typical High $275.42 | Professional | TC · Technical part | $46.77 | $162.18 | $275.42 |
Network Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $181.97 | Professional | None (both parts) | $104.71 | $104.71 | $181.97 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.98 Typical High $40.74 | Professional | 26 · Professional part | $14.45 | $16.98 | $40.74 |
Prevea360 Setting Facility Modifier None Typical Low $9.33 Median $61.66 Typical High $100.00 | Facility | None | $9.33 | $61.66 | $100.00 |
Quartz Setting Professional Modifier None Typical Low $29.51 Median $56.23 Typical High $104.71 | Professional | None | $29.51 | $56.23 | $104.71 |
Quartz Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $117.49 | Professional | None (both parts) | $40.74 | $40.74 | $117.49 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $35.48 | Professional | 26 · Professional part | $14.45 | $14.45 | $35.48 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $75.86 | Professional | TC · Technical part | $25.70 | $25.70 | $75.86 |
Security Health Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Security Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $346.74 Typical High $371.54 | Professional | None (both parts) | $165.96 | $346.74 | $371.54 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $33.11 Typical High $58.88 | Professional | 26 · Professional part | $22.91 | $33.11 | $58.88 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $17.38 | $48.98 | $48.98 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $114.82 Typical High $229.09 | Professional | None (both parts) | $51.29 | $114.82 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $23.99 Typical High $45.71 | Professional | 26 · Professional part | $11.22 | $23.99 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $91.20 Typical High $181.97 | Professional | TC · Technical part | $40.74 | $91.20 | $181.97 |
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 $21.38 Median $21.38 Typical High $173.78 | Professional | 52 · Reduced service | $21.38 | $21.38 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $70.79 | Professional | 53 · Discontinued | $8.51 | $8.51 | $70.79 |
Where Wisconsin sits
The same service costs 4.7 times more in Alaska than in Florida. 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· 4th of 51
$87.10
AK $110FL $23.44
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.