How much rates vary
Facilitymedian $200 · 10th to 90th $98 to $316Professionalmedian $224 · 10th to 90th $89 to $813
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 $120.23 Median $120.23 Typical High $199.53 | Facility | None | $120.23 | $120.23 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $1,047.13 | Professional | None (both parts) | $120.23 | $120.23 | $1,047.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $331.13 | Professional | 26 · Professional part | $43.65 | $43.65 | $331.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | TC · Technical part | $77.62 | $77.62 | $77.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $79.43 Median $316.23 Typical High $645.65 | Professional | None (both parts) | $79.43 | $316.23 | $645.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $114.82 Typical High $229.09 | Professional | 26 · Professional part | $28.18 | $114.82 | $229.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $204.17 Typical High $407.38 | Professional | TC · Technical part | $50.12 | $204.17 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $275.42 Typical High $407.38 | Facility | None | $239.88 | $275.42 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $131.83 Typical High $354.81 | Professional | None (both parts) | $114.82 | $131.83 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $138.04 | Professional | 26 · Professional part | $34.67 | $46.77 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $85.11 Typical High $234.42 | Professional | TC · Technical part | $74.13 | $85.11 | $234.42 |
DeanCare Setting Facility Modifier None Typical Low $26.92 Median $97.72 Typical High $363.08 | Facility | None | $26.92 | $97.72 | $363.08 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $97.72 Median $190.55 Typical High $213.80 | Professional | None (both parts) | $97.72 | $190.55 | $213.80 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $72.44 Typical High $79.43 | Professional | 26 · Professional part | $52.48 | $72.44 | $79.43 |
Medica Setting Facility Modifier None Typical Low $26.92 Median $97.72 Typical High $173.78 | Facility | None | $26.92 | $97.72 | $173.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $104.71 Median $363.08 Typical High $851.14 | Professional | None (both parts) | $104.71 | $363.08 | $851.14 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $131.83 Typical High $208.93 | Professional | 26 · Professional part | $36.31 | $131.83 | $208.93 |
Medica Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $234.42 Typical High $707.95 | Professional | TC · Technical part | $69.18 | $234.42 | $707.95 |
Network Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $309.03 | Professional | None (both parts) | $251.19 | $251.19 | $309.03 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $117.49 | Professional | 26 · Professional part | $41.69 | $48.98 | $117.49 |
Prevea360 Setting Facility Modifier None Typical Low $26.92 Median $97.72 Typical High $363.08 | Facility | None | $26.92 | $97.72 | $363.08 |
Quartz Setting Professional Modifier None Typical Low $89.13 Median $177.83 Typical High $389.05 | Professional | None | $89.13 | $177.83 | $389.05 |
Quartz Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $331.13 | Professional | None (both parts) | $114.82 | $114.82 | $331.13 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $102.33 | Professional | 26 · Professional part | $41.69 | $41.69 | $102.33 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $218.78 | Professional | TC · Technical part | $74.13 | $74.13 | $218.78 |
Security Health Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
Security Health Setting Professional Modifier None (both parts) Typical Low $467.74 Median $549.54 Typical High $588.84 | Professional | None (both parts) | $467.74 | $549.54 | $588.84 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $75.86 Typical High $169.82 | Professional | 26 · Professional part | $57.54 | $75.86 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $208.93 Typical High $389.05 | Professional | None (both parts) | $100.00 | $208.93 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $67.61 Typical High $134.90 | Professional | 26 · Professional part | $31.62 | $67.61 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $144.54 Typical High $288.40 | Professional | TC · Technical part | $64.57 | $144.54 | $288.40 |
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 $60.26 Median $60.26 Typical High $537.03 | Professional | 52 · Reduced service | $60.26 | $60.26 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $213.80 | Professional | 53 · Discontinued | $23.99 | $23.99 | $213.80 |
Where Wisconsin sits
The same service costs 4.4 times more in Alaska than in Texas. 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
$224
AK $331TX $75.86
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.