How much rates vary
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 $331.13 Typical High $331.13 | Facility | None | $199.53 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $1,659.59 | Professional | None (both parts) | $331.13 | $331.13 | $1,659.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $208.93 | Professional | 26 · Professional part | $33.11 | $33.11 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | TC · Technical part | $302.00 | $302.00 | $302.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $794.33 Typical High $1,659.59 | Professional | None (both parts) | $223.87 | $794.33 | $1,659.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $87.10 Typical High $177.83 | Professional | 26 · Professional part | $21.38 | $87.10 | $177.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $741.31 Typical High $1,445.44 | Professional | TC · Technical part | $199.53 | $741.31 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $691.83 Typical High $1,047.13 | Facility | None | $616.60 | $691.83 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $707.95 Typical High $1,288.25 | Professional | None (both parts) | $316.23 | $707.95 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $79.43 Typical High $125.89 | Professional | 26 · Professional part | $31.62 | $79.43 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $630.96 Typical High $1,148.15 | Professional | TC · Technical part | $288.40 | $630.96 | $1,148.15 |
DeanCare Setting Facility Modifier None Typical Low $204.17 Median $346.74 Typical High $1,698.24 | Facility | None | $204.17 | $346.74 | $1,698.24 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $416.87 Median $489.78 Typical High $616.60 | Professional | None (both parts) | $416.87 | $489.78 | $616.60 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $371.54 Typical High $1,698.24 | Facility | None | $204.17 | $371.54 | $1,698.24 |
Medica Setting Professional Modifier None (both parts) Typical Low $186.21 Median $489.78 Typical High $954.99 | Professional | None (both parts) | $186.21 | $489.78 | $954.99 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $60.26 Typical High $125.89 | Professional | 26 · Professional part | $26.30 | $60.26 | $125.89 |
Medica Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $436.52 Typical High $831.76 | Professional | TC · Technical part | $177.83 | $436.52 | $831.76 |
Network Health Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Network Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $389.05 Typical High $616.60 | Professional | None (both parts) | $281.84 | $389.05 | $616.60 |
Prevea360 Setting Facility Modifier None Typical Low $204.17 Median $346.74 Typical High $1,698.24 | Facility | None | $204.17 | $346.74 | $1,698.24 |
Quartz Setting Professional Modifier None Typical Low $251.19 Median $524.81 Typical High $1,000.00 | Professional | None | $251.19 | $524.81 | $1,000.00 |
Quartz Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $851.14 | Professional | None (both parts) | $316.23 | $316.23 | $851.14 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $85.11 | Professional | 26 · Professional part | $31.62 | $31.62 | $85.11 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $741.31 | Professional | TC · Technical part | $288.40 | $288.40 | $741.31 |
Security Health Setting Professional Modifier None (both parts) Typical Low $426.58 Median $1,000.00 Typical High $1,778.28 | Professional | None (both parts) | $426.58 | $1,000.00 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $489.78 Typical High $954.99 | Professional | None (both parts) | $194.98 | $489.78 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $60.26 Typical High $125.89 | Professional | 26 · Professional part | $25.12 | $60.26 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $436.52 Typical High $831.76 | Professional | TC · Technical part | $158.49 | $436.52 | $831.76 |
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 $165.96 Median $165.96 Typical High $831.76 | Professional | 52 · Reduced service | $165.96 | $165.96 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $331.13 | Professional | 53 · Discontinued | $66.07 | $66.07 | $331.13 |
Where Wisconsin sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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
$617
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.