How much rates vary
Facilitymedian $1,479 · 10th to 90th $200 to $3,631Professionalmedian $2,570 · 10th to 90th $933 to $7,079
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 $199.53 Median $1,479.11 Typical High $1,479.11 | Facility | None | $199.53 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,479.11 Typical High $4,570.88 | Professional | None (both parts) | $870.96 | $1,479.11 | $4,570.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $100.00 Typical High $2,290.87 | Professional | 26 · Professional part | $70.79 | $100.00 | $2,290.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $1,380.38 Typical High $1,380.38 | Professional | TC · Technical part | $549.54 | $1,380.38 | $1,380.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $933.25 Median $3,715.35 Typical High $7,762.47 | Professional | None (both parts) | $933.25 | $3,715.35 | $7,762.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $257.04 Typical High $537.03 | Professional | 26 · Professional part | $64.57 | $257.04 | $537.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $3,467.37 Typical High $7,244.36 | Professional | TC · Technical part | $870.96 | $3,467.37 | $7,244.36 |
Cigna Setting Facility Modifier None Typical Low $3,090.30 Median $3,467.37 Typical High $5,248.07 | Facility | None | $3,090.30 | $3,467.37 | $5,248.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,778.28 Typical High $4,466.84 | Professional | None (both parts) | $1,122.02 | $1,778.28 | $4,466.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $128.82 Typical High $309.03 | Professional | 26 · Professional part | $97.72 | $128.82 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,659.59 Typical High $4,168.69 | Professional | TC · Technical part | $1,047.13 | $1,659.59 | $4,168.69 |
DeanCare Setting Facility Modifier None Typical Low $831.76 Median $1,445.44 Typical High $1,949.84 | Facility | None | $831.76 | $1,445.44 | $1,949.84 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,511.89 Typical High $2,691.53 | Professional | None (both parts) | $2,511.89 | $2,511.89 | $2,691.53 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $1,584.89 Typical High $2,187.76 | Facility | None | $831.76 | $1,584.89 | $2,187.76 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $2,238.72 Typical High $8,511.38 | Professional | None (both parts) | $1,047.13 | $2,238.72 | $8,511.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $158.49 Typical High $933.25 | Professional | 26 · Professional part | $74.13 | $158.49 | $933.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $2,187.76 Typical High $7,762.47 | Professional | TC · Technical part | $1,023.29 | $2,187.76 | $7,762.47 |
Network Health Setting Professional Modifier None (both parts) Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None (both parts) | $3,548.13 | $3,548.13 | $3,548.13 |
Prevea360 Setting Facility Modifier None Typical Low $831.76 Median $1,445.44 Typical High $1,949.84 | Facility | None | $831.76 | $1,445.44 | $1,949.84 |
Quartz Setting Professional Modifier None Typical Low $354.81 Median $741.31 Typical High $2,691.53 | Professional | None | $354.81 | $741.31 | $2,691.53 |
Quartz Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,412.54 Typical High $4,073.80 | Professional | None (both parts) | $1,412.54 | $1,412.54 | $4,073.80 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $251.19 | Professional | 26 · Professional part | $97.72 | $97.72 | $251.19 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,318.26 Typical High $3,801.89 | Professional | TC · Technical part | $1,318.26 | $1,318.26 | $3,801.89 |
Security Health Setting Professional Modifier None (both parts) Typical Low $4,897.79 Median $6,456.54 Typical High $8,912.51 | Professional | None (both parts) | $4,897.79 | $6,456.54 | $8,912.51 |
United Setting Professional Modifier None (both parts) Typical Low $954.99 Median $2,137.96 Typical High $5,495.41 | Professional | None (both parts) | $954.99 | $2,137.96 | $5,495.41 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $141.25 Typical High $371.54 | Professional | 26 · Professional part | $74.13 | $141.25 | $371.54 |
United Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,949.84 Typical High $5,128.61 | Professional | TC · Technical part | $891.25 | $1,949.84 | $5,128.61 |
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 $741.31 Median $741.31 Typical High $2,290.87 | Professional | 52 · Reduced service | $741.31 | $741.31 | $2,290.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $295.12 Typical High $933.25 | Professional | 53 · Discontinued | $295.12 | $295.12 | $933.25 |
Where Wisconsin sits
The same service costs 20.4 times more in Alaska than in Oregon. 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
$2,344
AK $2,754OR $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.