How much rates vary
Facilitymedian $646 · 10th to 90th $200 to $1,738Professionalmedian $1,259 · 10th to 90th $437 to $3,162
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 $602.56 Typical High $602.56 | Facility | None | $199.53 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $602.56 Typical High $5,248.07 | Professional | None (both parts) | $512.86 | $602.56 | $5,248.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $56.23 Typical High $588.84 | Professional | 26 · Professional part | $40.74 | $56.23 | $588.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $398.11 | $549.54 | $549.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $389.05 Median $1,548.82 Typical High $3,162.28 | Professional | None (both parts) | $389.05 | $1,548.82 | $3,162.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $144.54 Typical High $295.12 | Professional | 26 · Professional part | $36.31 | $144.54 | $295.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $1,412.54 Typical High $2,884.03 | Professional | TC · Technical part | $354.81 | $1,412.54 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $1,698.24 Typical High $2,511.89 | Facility | None | $1,479.11 | $1,698.24 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $575.44 Median $1,412.54 Typical High $2,137.96 | Professional | None (both parts) | $575.44 | $1,412.54 | $2,137.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $131.83 Typical High $208.93 | Professional | 26 · Professional part | $53.70 | $131.83 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $1,380.38 Typical High $1,995.26 | Professional | TC · Technical part | $524.81 | $1,380.38 | $1,995.26 |
DeanCare Setting Facility Modifier None Typical Low $346.74 Median $645.65 Typical High $933.25 | Facility | None | $346.74 | $645.65 | $933.25 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,202.26 Typical High $1,202.26 | Professional | None (both parts) | $1,071.52 | $1,202.26 | $1,202.26 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $645.65 Typical High $1,071.52 | Facility | None | $346.74 | $645.65 | $1,071.52 |
Medica Setting Professional Modifier None (both parts) Typical Low $549.54 Median $1,148.15 Typical High $2,630.27 | Professional | None (both parts) | $549.54 | $1,148.15 | $2,630.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $102.33 Typical High $213.80 | Professional | 26 · Professional part | $44.67 | $102.33 | $213.80 |
Medica Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $1,174.90 Typical High $2,454.71 | Professional | TC · Technical part | $524.81 | $1,174.90 | $2,454.71 |
Network Health Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None (both parts) | $1,513.56 | $1,513.56 | $1,513.56 |
Prevea360 Setting Facility Modifier None Typical Low $346.74 Median $645.65 Typical High $933.25 | Facility | None | $346.74 | $645.65 | $933.25 |
Quartz Setting Professional Modifier None Typical Low $457.09 Median $933.25 Typical High $1,905.46 | Professional | None | $457.09 | $933.25 | $1,905.46 |
Quartz Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $1,949.84 | Professional | None (both parts) | $575.44 | $575.44 | $1,949.84 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $141.25 | Professional | 26 · Professional part | $53.70 | $53.70 | $141.25 |
Security Health Setting Professional Modifier None (both parts) Typical Low $2,344.23 Median $3,090.30 Typical High $4,265.80 | Professional | None (both parts) | $2,344.23 | $3,090.30 | $4,265.80 |
United Setting Professional Modifier None (both parts) Typical Low $537.03 Median $1,148.15 Typical High $2,630.27 | Professional | None (both parts) | $537.03 | $1,148.15 | $2,630.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $100.00 Typical High $213.80 | Professional | 26 · Professional part | $42.66 | $100.00 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $1,047.13 Typical High $2,454.71 | Professional | TC · Technical part | $501.19 | $1,047.13 | $2,454.71 |
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 $302.00 Median $302.00 Typical High $2,630.27 | Professional | 52 · Reduced service | $302.00 | $302.00 | $2,630.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $1,047.13 | Professional | 53 · Discontinued | $120.23 | $120.23 | $1,047.13 |
Where Wisconsin sits
The same service costs 16.6 times more in Wisconsin 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· 1st of 51
$1,202
WI $1,202OR $72.44
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.